IMEMR
EMRO
66.92
Index Copernicus
ICICICICICICICIC
Volume 2, Issue 3 (2021)
J Clinic Care Skill 2021, 2(3): 109-111 |
Back to browse issues page
Article Type:
History
Received: 2021/05/17 | Accepted: 2021/07/11 | Published: 2021/09/12
Received: 2021/05/17 | Accepted: 2021/07/11 | Published: 2021/09/12
How to cite this article
Eslamnik P, Makari A, Rezaei H. Isolated Torsion of the Fallopian Tube: a case report. J Clinic Care Skill 2021; 2 (3) :109-111
URL: http://jccs.yums.ac.ir/article-1-108-en.html
URL: http://jccs.yums.ac.ir/article-1-108-en.html
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Rights and permissions
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
1- Department of Obstetrics and Gynecology, Faculty of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran
2- Cellular and Molecular Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
2- Cellular and Molecular Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
Abstract (2297 Views)
Aims: Isolated torsion of the fallopian tube is a rare condition. A case of isolated torsion of the left fallopian tube associated without anomaly and pathology was present.
Patient & Methods: The patient was 17-year-old nulligravid from Yasuj who came to the obstetric department with acute severe abdominal pain, nausea, and vomiting in 2021. Her medical history included a left side ovarian cystectomy one year before admission. The pregnancy test was negative. Transvaginal ultrasonography showed a hemorrhagic cyst structure measuring 4cm in the left adnexa with moderate free fluid in the cul-de-sac was noted; the ovaries and uterus were unremarkable. Due to acute abdominal pain, an exploratory laparotomy was done and confirmed the diagnosis of isolated torsion of the left oviduct. The ipsilateral ovary appeared normal, but the fallopian tube was gangrenous, and left salpingectomy was performed.
Findings: Due to acute abdominal pain, an urgent laparotomy was performed, which revealed a twisted left fallopian tube and confirmed the isolated torsion of the left oviduct. The ipsilateral ovary appeared normal, but the fallopian tube was gangrenous, and left salpingectomy was performed, and she was discharged from our hospital two days later.
Conclusion: Women, without any abnormality and pathology of the tube, with a history of ovarian cyst surgery at the antimesenteric level, that the ovarian fimbria was removed are at risk for fallopian tube torsion.
Patient & Methods: The patient was 17-year-old nulligravid from Yasuj who came to the obstetric department with acute severe abdominal pain, nausea, and vomiting in 2021. Her medical history included a left side ovarian cystectomy one year before admission. The pregnancy test was negative. Transvaginal ultrasonography showed a hemorrhagic cyst structure measuring 4cm in the left adnexa with moderate free fluid in the cul-de-sac was noted; the ovaries and uterus were unremarkable. Due to acute abdominal pain, an exploratory laparotomy was done and confirmed the diagnosis of isolated torsion of the left oviduct. The ipsilateral ovary appeared normal, but the fallopian tube was gangrenous, and left salpingectomy was performed.
Findings: Due to acute abdominal pain, an urgent laparotomy was performed, which revealed a twisted left fallopian tube and confirmed the isolated torsion of the left oviduct. The ipsilateral ovary appeared normal, but the fallopian tube was gangrenous, and left salpingectomy was performed, and she was discharged from our hospital two days later.
Conclusion: Women, without any abnormality and pathology of the tube, with a history of ovarian cyst surgery at the antimesenteric level, that the ovarian fimbria was removed are at risk for fallopian tube torsion.
Keywords:
References
1. Hansen OH. Isolated torsion of the fallopian tube. Acta Obstet Gynecol Scand. 1970;49(1):3-6. [DOI:10.3109/00016347009157506] [PMID]
2. Toyoshima M, Mori H, Kudo K, Yodogawa Y, Sato K, Kudo T, et al. Isolated torsion of the fallopian tube in a menopausal woman and a pre-pubertal girl: Two case reports. J Med Case Rep. 2015;9:258. [DOI:10.1186/s13256-015-0745-y] [PMID] [PMCID]
3. Kolovos GN, Meytap E, Samartzis N, Kalaitzopoulos DR. Isolated torsion of the fallopian tube in a 16-year-old girl: A case report and review of the literature. Case Rep Womens Health. 2019;23:00132. [DOI:10.1016/j.crwh.2019.e00132] [PMID] [PMCID]
4. Georgios LA, Georgia SI, Matthaios TK. A clinical tool for diagnosis of isolated torsion of the right fallopian tube in a virgin girl. J Reprod Infertil. 2020;21(3):225-7. [link]
5. Yalcin OT, Hassa H, Zeytinoglu S, Isiksoy S. Isolated torsion of fallopian tube during pregnancy; report of two cases. Eur J Obstet Gynecol Reprod Biol. 1997;74(2):179-82. [DOI:10.1016/S0301-2115(97)00117-6]
6. Joshua S, Broder MD. Diagnostic imaging for the emergency physician. Amsterdam: Elsevier; 2011. [DOI:10.1016/B978-1-4160-6113-7.10002-X]
7. Kardakis S, Barranca A, Vitelli A, Amore I, Trento F, Caccia G. Isolated fallopian tube torsion. Case Rep Obstet Gynecol. 2013;2013:1-3. [DOI:10.1155/2013/479698] [PMID] [PMCID]
8. Balasubramaniam D, Duraisamy KY, Ezhilmani M, Ravi S. Isolated fallopian tube torsion: A rare twist with a diagnostic challenge that may compromise fertility. J Hum Reprod Sci. 2020;13(2):162-7. [DOI:10.4103/jhrs.JHRS_143_19] [PMID] [PMCID]
9. Antoniou N, Varras M, Akrivis C, Kitsiou E, Stefanaki S, Salamalekis E. Isolated torsion of the fallopian tube: A case report and review of the literature. Clin Exp Obstet Gynecol. 2004;31(3):235-8. [link]
10. Gross M, Blumstein SL, Chow LC. Isolated fallopian tube torsion: A rare twist on a common theme. Am J Roentgenol. 2005;185(6):1590-2. [DOI:10.2214/AJR.04.1646] [PMID]
11. Raziel A, Mordechai E, Friedler S, Schachter M, Pansky M, Ron-El R. Isolated recurrent torsion of the fallopian tube: Case report. Hum Reprod. 1999;14(12):3000-1. [DOI:10.1093/humrep/14.12.3000] [PMID]