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Isolated Fallopian Tube Torsion Concomitant With an Adenomatoid Tumor Arising From the Fallopian Tube: A Case Report
Fumitaka Mukouyama1, Hiroshi Ishikawa1, Aki Kinoshita2
1Department of Obstetrics and Gynecology, Reproductive Medicine, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, Japan, chiba-u.ac.jp.
Case Reports in Obstetrics and Gynecology
|April 27, 2026
Summary
Isolated fallopian tube torsion (IFTT) is rare. This case highlights an adenomatoid tumor as an unusual cause of IFTT, emphasizing that even small tumors can lead to this condition.
Area of Science:
- Gynecologic pathology
- Surgical oncology
Background:
- Isolated fallopian tube torsion (IFTT) is a rare gynecologic emergency.
- Causes of IFTT are diverse, including intrinsic tubal abnormalities and extrinsic factors.
- Adenomatoid tumors are typically benign, small, and asymptomatic.
Purpose of the Study:
- To report a rare case of IFTT caused by a fallopian tube adenomatoid tumor.
- To highlight the potential of adenomatoid tumors to cause tubal torsion.
Main Methods:
- Case report of a 49-year-old patient with sudden abdominal pain.
- Diagnostic imaging revealing a tubal mass.
- Laparoscopic confirmation of IFTT and tumor.
- Histopathological examination identifying an adenomatoid tumor.
Main Results:
- The patient presented with acute lower abdominal pain.
- Laparoscopy confirmed isolated fallopian tube torsion with a 3-cm solid mass.
- Histology revealed an adenomatoid tumor of the fallopian tube.
Conclusions:
- Adenomatoid tumors of the fallopian tube, though rare, can cause IFTT.
- Even small adenomatoid tumors (3 cm) can precipitate tubal torsion.
- This case expands the differential diagnosis for IFTT.
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