Abstract
Isolated tubal torsion is a rare event. The clinical presentation is often nonspecific and the diagnosis is difficult, especially in the gravida abdomen. If left untreated, torsion can result in premature labour and foetal loss, as well as maternal morbidity. Here we present a case of isolated tubal torsion in a primigravida occurring in her third trimester and subsequent successful laparoscopic salpingectomy, rather than laparotomy. We discuss some of the diagnostic difficulties faced and approached to surgery as well as a brief review of the literature. In our case the women went on to successfully complete her pregnancy with no further complications.
Highlights
Isolated tubal torsion is a rare event
We present a case of isolated tubal torsion in a primigravida occurring in her third trimester and subsequent successful laparoscopic salpingectomy, rather than laparotomy
A 28-year-old female, G1P0 30+3/40 gestation presented with sudden onset severe right-sided abdominal pain described as an intermittent sharp stabbing pain radiating to her right flank
Summary
Isolated tubal torsion is a rare event. The clinical presentation is often nonspecific and the diagnosis, difficult, especially in the gravida abdomen. Torsion can result in premature labour and foetal loss, as well as maternal morbidity. We present a case of isolated tubal torsion in a primigravida occurring in her third trimester and subsequent successful laparoscopic salpingectomy, rather than laparotomy
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