[Torsion of a hydrosalpinx in a 14-year old]

Lower abdominal pain in women often gives rise to diagnostic problems. We had a 14-year-old girl suffering from acute lower abdominal pain without effect of painkillers. Ultrasound revealed a cystic process in the pelvis. At laparoscopy we saw a right-sided hydrosalpinx with torsion. The hydrosalpinx was removed and afterwards she had no pain. Torsion of a hydrosalpinx is a very rare condition. It is very important that adnexal torsion is diagnosed and treated promptly in order to save the reproductive organs and prevent further complications.