Isolated fallopian tube torsion: a rare but important event for women of reproductive age

Abstract

Objective: To report two cases of isolated fallopian tubal torsion that emphasize the rarity and difficult of diagnosis.

Design: Case report.

Setting: A district general hospital.

Patient(s): We report two cases of hematosalpinx due to torsion of the fallopian tube. The symptoms were not specific; both patients had acute lower abdominal pain. The first diagnosis in both cases was a torsion of a pelvic complex mass like a tumor.

Intervention(s): Laparoscopy is necessary, but often surgery is performed too late to preserve the tube.

Main outcome measure(s): Resolution of symptoms with preservation of fertility.

Result(s): Both patients had the tube removed.

Conclusion(s): Early diagnosis and surgical intervention is mandatory when isolated fallopian tube torsion is suspected, particularly in a nulliparous young woman.