Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Oct 15;9(4):245-247.
doi: 10.4103/GMIT.GMIT_90_18. eCollection 2020 Oct-Dec.

Laparoscopic Salpingectomy for an Isolated Case of Left Fallopian Tube Torsion in a Premenarcheal 13 years old

Annabelle Sabu Vadukkut  1 , Abhishek Mangeshikar  1 , Sonam Jadhav  1 , Sushil Kumar  1
Affiliations
Case Reports

Laparoscopic Salpingectomy for an Isolated Case of Left Fallopian Tube Torsion in a Premenarcheal 13 years old

Annabelle Sabu Vadukkut et al. Gynecol Minim Invasive Ther. .

Abstract

Isolated torsion of the fallopian tube without an ovarian abnormality is an uncommon clinical finding even rarer before menarche and postmenopause, with an incidence of approximately 1 in 1.5 million women. Left fallopian tube torsion is infrequent as compared to right. Here, we report a rare case of a prepubertal girl who presented with acute left abdominal pain. Ultrasound suggested normal ovaries, and a significant left hydrosalpinx and color-Doppler was done, which confirmed signs of left-sided fallopian tube torsion. On laparoscopy, her left fallopian tube was twisted around its axis five times with the signs of necrosis, a laparoscopic salpingectomy was performed. Laparoscopy is the gold standard for the diagnosis and management of this condition. A high index of suspicion is necessary to make an early diagnosis allowing conservative surgical management and hence fertility preservation.

Keywords: Acute abdominal pain; isolated left fallopian tube torsion; laparoscopic salpingectomy; premarcheal pelvic pain.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Twisted left fallopian tube
Figure 2
Figure 2
Uterus with both fallopian tubes
Figure 3
Figure 3
Untwisting of the left fallopian tube
Figure 4
Figure 4
left salpingectomy
See this image and copyright information in PMC

References

    1. Ahn JH, Chung J, Lee TS. Successful laparoscopic surgery for 14-month-old infant with ovarian torsion. Obstet Gynecol Sci. 2014;57:160–3. - PMC - PubMed
    1. Ferrera PC, Kass LE, Verdile VP. Torsion of the fallopian tube. Am J Emerg Med. 1995;13:312–4. - PubMed
    1. Monaghan JM. Torsion of the isolated Fallopian tube. Br J Surg. 1973;60:70–2. - PubMed
    1. Jain N, Manchanda R, Chithra S, Lekhi A. Adnexal torsion-symptoms, diagnosis and management: A review of literature. Int J Reprod Contracept Obstet Gynecol. 2016;5:1276–84.
    1. Bondioni MP, McHugh K, Grazioli L. Isolated fallopian tube torsion in an adolescent: CT features. Pediatr Radiol. 2002;32:612–3. - PubMed

Publication types