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Case Reports
. 2022 May 4;11(2):124-126.
doi: 10.4103/gmit.gmit_41_21. eCollection 2022 Apr-Jun.

Fallopian Tube Autoamputation after Acute Large Endometrioma Torsion

Luay Ibrahim Abu Atileh  1 , Nouf Moh'd Khalifeh  2
Affiliations
Case Reports

Fallopian Tube Autoamputation after Acute Large Endometrioma Torsion

Luay Ibrahim Abu Atileh et al. Gynecol Minim Invasive Ther. .

Abstract

Adnexal torsion is the fifth most common gynecological emergency. However, endometrioma torsion is a very rare entity due to the associated pelvic adhesions. A 26-year-old woman presented to the emergency department complaining of acute lower abdominal pain for the past 6 h. Physical examination showed localized left iliac fossa tenderness. Ultrasound showed a 13 cm endometrioma with a normal color Doppler. Laparoscopy revealed a 13 cm large endometrioma arising from the left ovary. The left Fallopian tube was amputated at its attachment to the left cornua. Reconstruction of the ovary was done and the specimen was retrieved through the umbilicus inside a bag. Autoamputation of the Fallopian tube alone, although very rare, is typically associated with a preceding torsion. It is critical to be aware of adnexal torsion, as it can have implications for future fertility. Therefore, laparoscopic detorsion and cystectomy are the gold standard management.

Keywords: Autoamputation; fallopian tubes; fertility; laparoscopy; ovary.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Laparoscopic view showing part of the endometrioma (E), the torsion of the endometrioma on its pedicle (black arrows), and the site of the Fallopian tube amputation (white arrow)
Figure 2
Figure 2
Laparoscopic view showing the amputation site of the left Fallopian tube. Black arrow: Designate the attachment of the Fallopian tube to the left cornua with fresh bleeding coming from its end
See this image and copyright information in PMC

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