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Published on: January 22, 2022
Chronic isolated fallopian tube torsion
Kameelah Phillips1, M Elizabeth Fino, Lisa Kump
1NYU Fertility Center, Department of Obstetrics and Gynecology, New York University School of Medicine, 660 First Avenue, New York, NY 10016, USA.
Objective:
To describe a case of chronic isolated fallopian tubal torsion in a woman without identifiable risk factors and discuss the difficulty of diagnosis.
Design:
Case report.
Setting:
University-based reproductive endocrinology and infertility center.
Patient(S):
Multiparous woman with no risk factors of torsion of the fallopian tube presenting with chronic right lower quadrant pain.
Intervention:
Laparoscopy with subsequent salpingectomy.
Main Outcome Measure(S):
Resolution of symptoms. Preservation of ovary and future fertility.
Result(S):
Patient's symptoms resolved after salpingectomy. Information regarding future fertility is pending.
Conclusion(S):
Isolated fallopian tube torsion is rare and often difficult to diagnose. Despite ultrasonographic evidence of arterial and/or venous flow to the adnexa, adnexal torsion cannot be ruled out. If clinical suspicion for torsion is high, early diagnosis and treatment via laparoscopy is encouraged as a means of preserving fallopian tube integrity and maintaining fertility, especially in reproductive-age women.
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