[Isolated torsion of fallopian tube in a 12-year-old premenarcheal girl; a case report]

Isolated torsion of the fallopian tubes is a rare condition. Although, it can occur at all ages, it is mostly observed during reproductive ages. Early diagnosis and urgent management of the condition is crucial to preserving the tube. A 12-year-old premenarcheal girl presented with a sudden, severe right-sided lower abdominal pain. The pain had begun 24 hours earlier. The girl had nausea and vomiting. Abdominal examination revealed tenderness in the right lower quadrant with no palpable mass. Pelvic ultrasound showed a right adnexal mass measuring 65X35 mm and containing dense and cystic tissues with simple appearance. At laparotomy, an isolated twist of the right fallopian tube with necrosis was found, leaving no choice other than salpingectomy. Menstruation began one week following surgery. Isolated torsion of the fallopian tube should be considered in the differential diagnosis of acute abdominopelvic pain in premenarcheal adolescent girls. Prompt surgical intervention is necessary to preserve the fallopian tube

Evaluation of the effect of castor oil on initiating labor in term pregnancy

To determine the effect of castor oil on initiating labor in term pregnant women. We conducted this randomized control clinical trial on 47 pregnant women from August 2003 to March 2004 in Mashhad University of Medical Sciences, Iran. There was a significant increase in labor initiation ratio in the castor oil group compared with the control group [54.2% compared with 4.3%, p<0.001]. Also, the mean bishop score in the castor oil group increased from 2.50 +/- 1.29 to 6.79 +/- 3.20 [p<0.001]. The probability of labor initiation increases during the first 24 hours after using castor oil, however, further studies are recommended to improve its efficacy and safety