PDF
ePub
Citation
Print
Abstract
Isolated tubal torsion is a rare disease that causes acute lower abdominal pain. In most of cases, the ovary and the fallopian tube are together twisted due to an ovarian tumor, but the fallopian tube alone is rarely twisted. Tubal torsion mainly occurs in fertile women, and it rarely occurs prior to menarche and during menopause. We experienced a case where isolated tubal torsion occurred in a perimenopausal female with total abdominal hysterectomy, while the findings showed a normal ovary. We report this case with a brief review of related literature.
Figures and Tables
Figure 1
Large hypoechic cystic mass by ultrasonography. (A) There is internal echogenicity in cyst. (B) The figure shows that there is partial septum such as haustra coli in cyst.
Figure 2
Large hydrosalpinx in pelvic cavity. (A) There is an 8.3 cm sized cystic lesion with enhanced thin rim by computed tomography. This is a tubular structure with multiple cystic lesions such as hydrosalpinx. (B) The normal looking appearance ovaries (arrows) are shown.
Figure 3
This photograph is gross and microscopic finding of hydrosalpinx after surgical excision. (A) Gross photograph shows edematous and congested mass. (B) There is marked tubal congestion with hydrosalpinx. This photograph shows the dilated fallopian tube including marked hemorrhagic and congested wall (arrow) with edematous plicae (arrowhead). (H&E stain, ×100).
References
1. Rizk DE, Lakshminarasimha B, Joshi S. Torsion of the fallopian tube in an adolescent female: a case report. J Pediatr Adolesc Gynecol. 2002. 15:159–161.
2. Comerci G, Colombo FM, Stefanetti M, Grazia G. Isolated fallopian tube torsion: a rare but important event for women of reproductive age. Fertil Steril. 2008. 90:1198.e23–1198.e25.
3. Origoni M, Cavoretto P, Conti E, Ferrari A. Isolated tubal torsion in pregnancy. Eur J Obstet Gynecol Reprod Biol. 2009. 146:116–120.
4. Kim YH, Kang MC, Jung H. Torsion of the fallopian tube in an adolescent female. Korean J Obstet Gynecol. 2004. 47:1447–1449.
5. Ozgun MT, Batukan C, Turkyilmaz C, Serin IS. Isolated torsion of fallopian tube in a post-menopausal patient: a case report. Maturitas. 2007. 57:325–327.
6. Yoon JY, Lee MH, Oh HA, Kim JS, Rhee KW, Kim SJ, et al. A case of torsion of the fallopian tube in pregnancy. Korean J Obstet Gynecol. 1992. 35:1544–1550.
7. Ku YH, Kim JA, Lee CH, Bae KB, Jeon HW, Hwang GR. Torsion of the isolated fallopian tube in an adolescence: a case report. Korean J Obstet Gynecol. 2006. 49:1154–1157.
8. Ding DC, Hsu S, Kao SP. Isolated torsion of the hydrosalpinx in a postmenopausal woman. JSLS. 2007. 11:252–254.
9. Ho PL, Liang SJ, Su HW, Chang CY, Hsu CS, Ling TH. Isolated torsion of the fallopian tube: a rare diagnosis in an adolescent without sexual experience. Taiwan J Obstet Gynecol. 2008. 47:235–237.
10. Pinkert M, Klein Z, Tepper R, Beyth Y. Hydrosalpinx with adnexal torsion in an adolescent virgin patient: a diagnostic dilemma: case report and review of the literature. J Pediatr Adolesc Gynecol. 2006. 19:297–299.
11. Yu BY, Cho JY, Kim DS. 7 case of torsion of the fallopian tube. Korean J Obstet Gynecol. 1980. 23:795–799.
12. Verzar Z, Kover E, Doczi T, Kalman E, Koppan M, Bodis J. Successful treatment of FIGO stage IV gestational choriocarcinoma occurring 2 months after delivery. Eur J Obstet Gynecol Reprod Biol. 2008. 140:275–276.
13. Singla A. An unusual case of torsion hydrosalpinx after hysterectomy: a case report. Aust N Z J Obstet Gynaecol. 2007. 47:256–257.
XML Download