Isolated Fallopian Tube Torsion: A Rare Occurrence

Abstract

Isolated fallopian tube torsion [IFTT] is one of the rare gynaecological causes of acute abdomen. Its incidence is reported as 1:15,00,000. However, it is one of the most challenging entities for the clinicians to diagnose due to absence of pathognomic symptoms, signs and investigations. It is most commonly seen in women of reproductive age group. However, no age is exempted from it. With this background, authors here report a case of 13-year-old girl who presented to casualty of our hospital with acute lower abdominal pain on right side since two days. She was not sexually active. Her blood and urine investigations were normal. Ultrasound pelvis revealed a right adnexal cyst of size 5 × 6 cm. Urgent laparoscopy was done which showed IFTT of right side with bilateral paratubal cyst. Laparoscopic detorsion with bilateral cystectomy was done. On conclusion, early diagnosis and management of IFTT is essential to salvage the tubes. Laparoscopy is considered as gold standard for its diagnosis and simultaneous management. Conservative therapy including detorsion with cystectomy should be considered as first line treatment. Authors report this case due to its rarity.