ABSTRACT
Isolated torsion of the fallopian tube is a rare disease entity that clinicians should consider in adolescentsand reproductive females with pelvie pain. The disease is clinically significant and should be considered in thedif-ferential diagnosis of both acute and recurrent lower abdominal pain. If not treated in time, it can causetissue gangrene and be fatal. The authors report the ultrasound and CT findings in a case of isolated fallopiantubal torsion.
Subject(s)
Female , Humans , Abdominal Pain , Diagnosis , Fallopian Tubes , Gangrene , Rare Diseases , UltrasonographyABSTRACT
Adnexal and ovarian torsion cause acute or chronic abdominal pain, and on ultrasonography, CT and MRI, theradiologic findings of twisted pedicle are clearly demonstrated. Due not only to the rarity of the disease butalso because the symptoms and signs are similar to those seen in cases of adnexal torsion, isolated torsion of thefallopian tubes is not easily diagnosed. The author describes two cases of this condition which on CT andultrasonography showed the "whirling" pattern of twisted pedicle located at the tubal end ; this pattern isassociated with tubal pregnancy or hydrosalpinx. The distal location of twisted pedicle at the fallopian tube,ipsilateral tubal dilatation and ipsilateral normal ovary suggests isolated torsion of the fallopian tubes.
Subject(s)
Female , Pregnancy , Abdominal Pain , Dilatation , Fallopian Tubes , Magnetic Resonance Imaging , Ovary , Pregnancy, Ectopic , Pregnancy, Tubal , UltrasonographyABSTRACT
Primary fallopian tube carcinoma is a very rare gynecologic malignacy, occurring during the fifth or sixthdecade of postmenopausal women. The most common histological type is adenocarcinoma; squamous carcinoma, sarcoma,mixed mullerian tumors, and choriocarcinoma, for example, are exceedingly rare. The author reports one case eachof adenocarcinoma and choriocarcinoma of the fallopian tube both were demonstrated by US, CT, and MRI.