Abstract

A case report of tubal torsion following laparoscopic sterilization is presented. The patient was examined following the sudden onset of ab dominal pain and a presumptive diagnosis of pelvic inflammatory disease was made for which ampicillin was prescribed. However the pain persisted and exploratory laparotomy was performed. Examination reveale d complete torsion of the distal portion of the right oviduct and distension to a length of 10 cm and a diameter of 5 cm. Symptoms disapp eared following a right salpingectomy and appendectomy. In this case it is suspected that tubal torsion was the result of cutting too deeply into the mesosalpinx. Factors which may contribute to the etiology of tubal torsion are reviewed.

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