Abstract
Abstract Isolated fallopian tube torsion is an uncommon cause of acute low abdominal pain in women. We present a case of 18-year-old virgin girl with isolated right fallopian tube torsion. She was admitted to the Emergency Department of our hospital with abdominal pain. Pelvic ultrasound revealed bilateral enlarged ovaries containig 4 cm and 3 cm cystic masses and some free fluid in the pouch of Douglas. An urgent laparoscopy was performed by a general surgeon. They revealed a dusky blue twisted right hydrosalpinx with a twist of the long axis of a necrotic right fallopian tube. Laparotomy was performed due to restrictions of laparoscopy in detorsion of the pelvic mass. A right salpingectomy was performed subsequently. In conclusion; surgical treatment should not be delayed for salvage the tube and preserve fertility in suspicion of tubal torsion. Keywords: Abdominal pain, fallopian tube, laparoscopy, salpingectomy
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