Abstract

Isolated fallopian tube torsion (IFTT) is a rare entity that is difficult to diagnose its atypical clinical symptoms. Early diagnosis is important to avoid damage or loss of the fallopian tube or even the ovary, as this occurs predominantly in women of child-bearing age. Treatment can range from detorsing the tube to salpingectomy or even salpingo-oophorectomy. Here, the authors present a case of IFTT. A 25-year-old girl was referred to the hospital due to infertility. Bilateral fallopian tube torsion was found by laparoscopy, reamputation of left fallopian tube stump, and partial excision of right fallopian tube were performed. On follow-up examinations within the next six months, postoperative course was uneventful. The diagnosis of IFTT can rarely be made preoperatively, and it has to be considered in differential assessment of infertility.

Highlights

  • Case ReportSummary Isolated fallopian tube torsion (IFTT) is a rare entity that is difficult to diagnose its atypical clinical symptoms

  • Isolated fallopian tube torsion (IFTT) is a rare disease in which the fallopian tube rotates on its own axis without torsion of the homolateral ovary

  • The patient asked for surgery because of procreative demand. She was admitted to this hospital with sequelae of pelvic inflammatory disease (PID)

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Summary

Case Report

Summary Isolated fallopian tube torsion (IFTT) is a rare entity that is difficult to diagnose its atypical clinical symptoms. Diagnosis is important to avoid damage or loss of the fallopian tube or even the ovary, as this occurs predominantly in women of child-bearing age. Treatment can range from detorsing the tube to salpingectomy or even salpingo-oophorectomy. The authors present a case of IFTT. A 25-year-old girl was referred to the hospital due to infertility. Bilateral fallopian tube torsion was found by laparoscopy, reamputation of left fallopian tube stump, and partial excision of right fallopian tube were performed. On follow-up examinations within the six months, postoperative course was uneventful. The diagnosis of IFTT can rarely be made preoperatively, and it has to be considered in differential assessment of infertility

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