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Isolated torsion of the fallopian tube: a case report and review of the literature

European Journal of Pediatrics volume 170, pages 1329–1332 (2011)Cite this article

Abstract

Isolated torsion of the fallopian tube is a rare medical emergency, especially in premenarchal girls. We present a 9-year-old girl with right-sided lower abdominal pain. Isolated torsion of the fallopian tube was suspected preoperatively because of the clinical presentation combined with the results of ultrasound and magnetic resonance imaging (MRI). At emergency laparoscopy, the isolated torsion of the fallopian tube could be reduced, and the tube could be salvaged. This case report shows that the use of ultrasonography and MRI or CT is a helpful diagnostic tool to recognize this condition at an early stage. Especially in young girls presenting with abdominal pain, this should be kept in mind, as digital vaginal examination and vaginal ultrasound most often cannot be used in the diagnostic process. In conclusion, because prompt surgical intervention is required to preserve the tube and prevent progression to peritonitis and possible detrimental effects on future fertility, isolated torsion of the fallopian tube should be considered in the differential diagnosis of lower abdominal pain in all female patients regardless of age.

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Affiliations

  1. Departments of Obstetrics and Gynecology, Rijnstate Hospital, PO box 9555, 6800 TA, Arnhem, The Netherlands

    Moniek van der Zanden & Annemiek Nap

  2. Department of Radiology, Rijnstate Hospital, Arnhem, The Netherlands

    Marjolijn van Kints

Authors
  1. Moniek van der Zanden
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  2. Annemiek Nap
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  3. Marjolijn van Kints
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Correspondence to Moniek van der Zanden.

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van der Zanden, M., Nap, A. & van Kints, M. Isolated torsion of the fallopian tube: a case report and review of the literature. Eur J Pediatr 170, 1329–1332 (2011). https://doi.org/10.1007/s00431-011-1484-8

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  • DOI: https://doi.org/10.1007/s00431-011-1484-8

Keywords

  • Isolated torsion of the fallopian tube
  • Abdominal pain
  • Prepubertal girl