Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

A Clinical Tool for Diagnosis of Isolated Torsion of the Right Fallopian Tube in a Virgin Girl

Authors
Lialios A Tsagkoulis 1
Skoufi I Georgia 2
Tsagkoulis K Matthaios 1
1 Department of Obstetrics and Gynaecology, University Hospital of Larisa, Mezourlo, Greece
2 Occupational Medicine Office, University Hospital of Larisa, Mezourlo, Greece
Abstract
Background: Isolated tubal torsion is a rare condition that its management remains a challenge. Case Presentation: In this case report, an isolated torsion of the right fallopian tube was described in a virgin girl who was treated laparoscopically. The patient presented to the University Hospital of Larisa, in Greece (January 2017) after 5 days of sharp pain in right iliac fossa. Through this period, she looked for medical care in her home country, in Albania. However, further treatment was not available there. Conclusion: This case manifested that laparoscopy plays an important role in the accurate diagnosis of isolated torsion of the fallopian tube. It thwarts unnecessary delay in treatment and it requires an endoscopy unit. Unfortunately, endoscopy is not commonly the main diagnostic procedure in many countries, including Greece.
Keywords
Fallopian tube
Isolated tubal torsion
Laparascopy
Salpingectomy
  1. Hansen OH. Isolated torsion of the fallopian tube. Acta Obstet Gynecol Scand. 1970;49(1):3-6.
  2. Sutton JB. Salpingitis and some of its effects. Lancet. 1890;2:1146-8.
  3. 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.
  4. Comerci G, Colombo FM, Stefanetti M, Grazia G. Isolated fallopian tube torsion: a rare but important event for women of reproductive age. Fertil Steril. 2008;90(4):1198.e23-5.
  5. Youssef AF, Fayad MM, Shafeek MA, Egypt C. Torsion of the fallopian tube: a clinico-pathological study. Acta Obstet Gynacol Scand. 1962;41(3):292-309.
  6. Demirel BD, Hancioglu S, Bicakci U, Ariturk E, Bernay F. Isolated tubal torsion: a rare cause of acute abdomen in childhood. Pediatr Rep. 2018;10(1):7604.
  7. Isenberg JS, Silich R. Isolated torsion of the normal fallopian tube in premenarcheal girls. Surg Gynecol Obstet. 1990;170(4):353-4.
  8. Shukla R. Isolated torsion of the hydrosalpinx: a rare presentation. Br J Radiol. 2004;77(921):784-6.
  9. Milki A, Jacobson DH. Isolated torsion of the fallopian tube. a case report. J Reprod Med. 1998;43(9):836-8.
  10. 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.
  11. Schrager J, Robles G, Platz T. Isolated fallopian tube torsion: a rare entity in a premenarcheal female. Am Surg. 2012;78(2):118-9.
  12. Liu YP, Shih SL, Yang FS. Sudden onset of right lower quadrant pain after heavy exercise. Am Fam Physician. 2008;78:379-84.
  13. Fadıloğlu E, Dur R, Demirdağ E, Öztürk Ç, Fadıloğlu Ş, Kaplan M, et al. Isolated tubal torsion: Successful preoperative diagnosis of five cases using ultrasound and management with laparoscopy. Turk J Obstet Gynecol. 2017;14(3):187-90.
  14. Wang, PH, Yuan CC, Chao HT, Shu LP, Lai CR. Isolated tubal torsion managed laparoscopically. J Am Assoc Gynecol Laparosc. 2000;7(3):423-7.
  15. Ozcan A, Mumusoglu S, Gokcu M, Caypinar SS, Sagiroglu C, Inan AH, et al. Differentiated therapy in pre- and postmenopausal adnexal torsion based on malignancy rates: a retrospective multicentre study over five years. Int J Surg. 2016;29:95-100.
Journal of Reproduction & Infertility
Volume 21, Issue 3
Summer 2020
Pages 225-227