Acute Isolated Tubal Torsion with Hematosalpinx in a Premenopausal Woman: The Importance of the Whirlpool Sign

Abstract

Isolated tubal torsion is a rare event with an incidence of 1 in 1 500 000 women. It can be seen through different stages of the reproductive period such s adolescence, pregnancy, and perimenopausal and menopausal stages [1]. Predisposing factors attributed to isolated tubal torsion include intrinsic (Morgagni hydatids, tubal ligation, hydrosalpinx, pyosalpinx, adhesions, abnormal peristalsis, long tube, or mesosalpinx) and extrinsic (ovarian cysts, tumors, previous pelvic surgery, hyperstimulated ovaries, pregnancy, venous congestion, and trauma) causes [2,3].