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Twisted fallopian tube in pregnancy: a case report
Vorapong Phupong1, Praguypruek Intharasakda
1Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand. vorapong.p@chula.ac.th
BMC Pregnancy and Childbirth
|November 22, 2001
Summary
Isolated twisted fallopian tube during pregnancy is rare but should be considered in cases of acute abdominal pain. Prompt surgical intervention is crucial for managing this condition and ensuring a positive pregnancy outcome.
Area of Science:
- Obstetrics and Gynecology
- Surgical Case Reports
Background:
- Isolated fallopian tube torsion is a rare gynecological condition.
- Torsion of the fallopian tube during pregnancy is exceptionally uncommon.
- Diagnosis is frequently delayed, often confirmed intraoperatively.
Purpose of the Study:
- To report a rare case of isolated left fallopian tube torsion in a pregnant patient.
- To highlight the diagnostic challenges and management of this obstetric emergency.
Main Methods:
- Case presentation of a 34-year-old pregnant woman (28 weeks gestation) with acute left lower abdominal pain.
- Clinical and ultrasonographic evaluation initially suggested a twisted ovarian cyst.
- Emergency exploratory laparotomy was performed for diagnosis and management.
Main Results:
- Intraoperative findings revealed a twisted left fallopian tube and a paratubal cyst.
- A left salpingectomy was performed.
- The patient experienced an uneventful postoperative recovery, and the pregnancy proceeded to term without complications.
Conclusions:
- Isolated fallopian tube torsion during pregnancy, though rare, must be included in the differential diagnosis of acute abdomen in pregnancy.
- Timely surgical intervention is essential to minimize maternal morbidity and potentially preserve fallopian tube function.