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Isolated fallopian tube torsion in adolescents
S Rajaram1, S Bhaskaran, S Mehta
1Department of Obstetrics and Gynaecology, Guru Teg Bahadur Hospital and University College of Medical Sciences, Delhi 110095, India.
Case Reports in Obstetrics and Gynecology
|November 20, 2013
Summary
Fallopian tube torsion, a rare cause of acute abdomen in women, requires early diagnosis. Prompt surgical intervention can help salvage the fallopian tube, preventing serious complications.
Area of Science:
- Gynecology
- Surgical Case Reports
Background:
- Fallopian tube torsion is a rare cause of acute abdomen, particularly in reproductive-aged females.
- Diagnosis is often delayed due to a lack of specific symptoms, signs, or imaging findings.
Purpose of the Study:
- To report two cases of isolated fallopian tube torsion in adolescent girls.
- To highlight the importance of early diagnosis and surgical intervention for fallopian tube torsion.
Main Methods:
- Case report of two adolescent girls presenting with acute unilateral pelvic pain.
- Diagnostic laparoscopy was performed in both cases.
- Surgical management included detorsion and salpingectomy based on tube viability.
Main Results:
- The first case involved a 19-year-old with a twisted left fallopian tube and ovarian cyst, successfully salvaged.
- The second case involved an 18-year-old with a gangrenous right fallopian tube and paratubal cyst, requiring salpingectomy.
- Both patients presented with acute lower abdominal pain and tenderness.
Conclusions:
- Fallopian tube torsion should be considered in reproductive-aged women with unilateral pelvic pain.
- Early diagnostic laparoscopy is crucial for accurate diagnosis and potential fallopian tube salvage.
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