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Chronic isolated torsion of the left fallopian tube: a diagnostic dilemma

  • Case Report
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Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Background

Chronic tubal torsion is a rare clinical entity.

Case

A 15-year-old adolescent presented with an 18-month history of intermittent lower abdominal pain at our outpatient department after various preceding consultations with different physicians. She was asymptomatic and showed no abnormality on physical examination. Ultrasound findings revealed a cystic structure adjacent to the left ovary. Diagnostic laparoscopy showed a twisted and dilated left fallopian tube with thickened wall and adherence to the pelvic sidewall. Following detorsion, there was no evidence of reperfusion. Consequently, a left salpingectomy was performed.

Conclusion

Chronic tubal torsion is a rare but possible differential diagnosis of current lower abdominal pain. Physicians should have a high index of suspicion.

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References

  1. Bland-Sutton B (1890) Salpingitis and some of its effects. Lancet 2:1146

    Article  Google Scholar 

  2. Hansen OH (1970) Isolated torsion of the Fallopian tube. Acta Obstet Gynecol Scand 49(1):3–6

    Article  PubMed  CAS  Google Scholar 

  3. Gross M, Blumstein SL, Chow LC (2005) Isolated Fallopian tube torsion: a rare twist on a common theme. Am J Radiol 185:1590–1592

    Google Scholar 

  4. Krissi H, Shalev J, Bar-Hava I, Langer R, Herman A, Kaplan B (2001) Fallopian tube torsion: laparoscopic evaluation and treatment of a rare gynecological entity. J Am Board Fam Pract 14(4):274–277

    PubMed  CAS  Google Scholar 

  5. Bernardus RE, Van der Slikke JW, Roex AJ, Dijkhuizen GH, Stolk JG (1984) Torsion of the fallopian tube: some considerations on its etiology. Obstet Gynecol 64(5):675–678

    PubMed  CAS  Google Scholar 

  6. Raziel A, Mordechai E, Friedler S, Schachter M, Pansky M, Ron-El R (1999) Isolated recurrent torsion of the Fallopian tube: case report. Hum Reprod 14(12):3000–3001

    Article  PubMed  CAS  Google Scholar 

  7. Baumgartel PB, Fleischer AC, Cullinan JA, Bluth RF (1996) Color Doppler sonography of tubal torsion. Ultrasound Obstet Gynecol 7(5):367–370

    Article  PubMed  CAS  Google Scholar 

  8. Blair CR (1962) Torsion of the fallopian tube. Surg Gynecol Obstet 114:727–730

    PubMed  CAS  Google Scholar 

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Acknowledgments

We gratefully acknowledge the support given to us by Dr. Cornelia Schröder (Radiologische Gemeinschaftspraxis Prüner Gang/Kiel) and Dr. Kris Vanhecke (Ev.-Luth. Diakonissenanstalt/Flensburg).

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, University Hospital Schleswig-Holstein, Campus Kiel, Michaelisstrasse 16, 24105, Kiel, Germany

    Thoralf Schollmeyer, Walter Jonat, Liselotte Mettler & Ivo Meinhold-Heerlein

  2. Obafemi Awolowo University Hospital, Ile-Ife, PMB 5538, Osun State, Nigeria

    Ayodapo Samuel Soyinka

  3. Universitat di Bologna, Via Massarenti 13, 40138, Bologna, Italy

    Mohamed Mabrouk

Authors
  1. Thoralf Schollmeyer
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  2. Ayodapo Samuel Soyinka
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  3. Mohamed Mabrouk
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  4. Walter Jonat
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  5. Liselotte Mettler
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  6. Ivo Meinhold-Heerlein
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Corresponding author

Correspondence to Thoralf Schollmeyer.

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Schollmeyer, T., Soyinka, A.S., Mabrouk, M. et al. Chronic isolated torsion of the left fallopian tube: a diagnostic dilemma. Arch Gynecol Obstet 277, 87–90 (2008). https://doi.org/10.1007/s00404-007-0411-8

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  • DOI: https://doi.org/10.1007/s00404-007-0411-8

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