Isolated fallopian tube torsion in an early adolescent / Philippine Journal of Obstetrics and Gynecology

@#Isolated fallopian tube torsion is a rare but significant gynecological cause of lower abdominal pain in adolescent females with or without risk factors. A 12-year-old female was initially treated as urinary tract infection, acute appendicitis, and a possible ovarian pathology. Intraoperatively, it was isolated fallopian tube torsion. The entity is difficult to recognize preoperatively because of its vague clinical presentation and lack of specific laboratory and imaging findings, and diagnosis is done ultimately during surgery. Isolated tubal torsion should be considered in cases of acute lower abdominal pain since awareness and early detection of the condition, especially in children and adolescents, allows early surgical intervention that may render preservation of the tubes.

Significant elevation in serum CA 125 and CA 19-9 levels with torsion of the hydrosalpinx in a postmenopausal woman

Isolated torsion of the fallopian tube in postmenopausal women is rare. In this case report, we detail the case of a 53-year-old patient who presented with adenomyosis and a left hydrosalpinx with high levels of CA 125 and CA 19-9. The isolated torsion of the left hydrosalpinx was observed during the operation. The serum levels of CA 125 and CA 19-9 were reduced from 129.62 and 348 to 58.2 and 12.41 U/mL, respectively, after total laparoscopic hysterectomy with salpingectomy. On radiologic evaluation, there were no other factors that may have influenced the increase in serum levels of CA 125 and CA 19-9 in this patient, which were reduced after operation. To the best of our knowledge, this is the first case of association between perioperative changes in CA 19-9 levels and isolated torsion of the fallopian tube.

Conservative Laparoscopic Treatment in Isolated Tubal Torsion in a Young Patient.

Aim: Isolated tubal torsion is a rare entity in young women. To represent a case of conservative laparoscopic treatment in isolated tubal torsion in a young patient. Presentation of Case: A 20-year-old virgin woman who had acute right lower quadrant of abdominal pain and nausea underwent diagnostic laparoscopy with subsequent detorsion of the involved fallopian tube in a tertiary care medical center. Discussion: The treatment modality of tubal torsion in most of the reported cases during initial surgery or at the time of recurrent torsion after detorsion was salpingectomy. Conclusion: Conservative treatment option that is laparoscopic detorsion which should be preferred especially in young patients to preserve the tubo-ovarian function.

Isolated torsion of the hydrosalpinx after hysterectomy: A case report / 대한산부인과학회지

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.