Isolated Fallopian Tube Torsion in a 14-Year-Old Girl: A Case Report and Review of the Literature

Isolated fallopian tube torsion (IFTT) is a rare cause of surgical emergency and is difficult to diagnose. We present a case of IFTT in a 14-year-old girl who presented with an acute abdomen. Based on the clinical and computed tomographic findings, an initial diagnosis of ovarian torsion was considered. However, an emergency laparoscopic surgery revealed a left necrotic hemorrhagic tubal torsion. Subsequently, a left salpingectomy was performed with the preservation of both ovaries. Histological examination confirmed the diagnosis of IFTT with hydrosalpinx. This case highlights the diagnostic challenges associated with IFTT and emphasizes the important role of early surgical intervention in preventing morbidity and preserving ovaries. A brief review of the literature on IFTT in terms of its diagnostic and therapeutic approaches is discussed.