Published: 2021-02-24

Isolated fallopian tube torsion

Bandamma N. S., Prema Prabhudev, S. Pooja


Fallopian tube torsion is a rare cause of acute abdomen, occurring commonly in females of reproductive age. It lacks pathognomonic symptoms, signs, or imaging features, thus causing delay in surgical intervention. Current study report one case of isolated fallopian tube torsion in adolescent girl. In this case a 13 year old patient presented with acute pain in the right iliac region associated with 3 episodes of vomiting for one day and severe tenderness on examination. Laparoscopy revealed right sided twisted fallopian tube associated with gangrenous fimbrial end. The tube was untwisted and salpingectomy done. Salpingectomy was done as the tube was gangrenous. Fallopian tube torsion, though rare, should be considered in women of reproductive age with unilateral pelvic pain. Early diagnostic laparoscopy is important for an accurate diagnosis and could prevent the rupture of the gangrenous tube.



Torsion, Fallopian tube, Salpingectomy, Laparoscopy, Pelvic pain

Full Text:



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.

Youssef AF, Fayad MM, Shafeek MA. Torsion of the fallopian tube. A clinico-pathological study. Acta Obstet Gynecol Scand. 1962;41:292-309.

Krissi H, Shalev J, Bar-Hava I, Langer R, Herman A, Kaplan B. Fallopian tube torsion: laparoscopic evaluation and treatment of a rare gynecological entity. J Am Board Fam Pract 2001;14:274-7.

Bernardus RE, Van der Slikke JW, Roex AJ, Dijkhuizen GH, Stolk JG. Torsion of the fallopian tube: some considerations on its etiology. Obstet Gynecol. 1984;64:675-8.

Pena JE, Ufberg D, Cooney N, Denis AL. Usefulness of Doppler ultrasonography in the diagnosis of ovarian torsion. Fertil Steril.2000;73:1047-50.

Lau HY, Huang LW, Chan CC, Lin CL, Chen CP. Isolated torsion of the fallopian tube in a 14-year-old adolescent. Taiwan J Obstet Gynecol. 2006;45(4): 363-5.

Breech LL, Hillard PJ. Adnexal torsion in pediatric and adolescent girls. Curr Opin Obstet Gynecol. 2005; 17:483-9.

Pinkert M, Klein Z, Tepper R, Beyth Y. Hydrosalpinx with adnexal torsion in an adolescent virgin patient-A diagnostic dilemma: case report and review of the literature. J Pediatr Adolesc Gynecol. 2006;19:297-9.

Hosny TA. Oophoropexy for ovarian torsion: a new easier technique. Gynecol Surg. 2017;14:7.