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. 2022 Aug;6(3):256-258.
doi: 10.5811/cpcem.2022.4.56344.

A Strange Twist

Annete O'Connell  1 , Rodrigo Kong  1 , Rohan Biswas  2 , Josh Greenstein  1 , Barry Hahn  1
Affiliations

A Strange Twist

Annete O'Connell et al. Clin Pract Cases Emerg Med. 2022 Aug.

Abstract

Case presentation: A 16-year-old female presented to the emergency department with acute onset of right lower quadrant abdominal pain for several hours. The patient was afebrile and physical examination was notable for isolated tenderness in the right lower quadrant. Ultrasound and computed tomography demonstrated an adnexal cystic structure. Pelvic magnetic resonance imaging was ordered to better characterize the pathology.

Discussion: Isolated fallopian tube torsion is an uncommon entity requiring prompt surgical intervention. Recognition and appropriate management are essential.

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image 1
Image 1
Transabdominal ultrasound image obtained with a curvilinear 5-megahertz transducer demonstrates a 7-centimeter cystic mass (star) in the right adnexa near midline, adjacent to the bladder (asterisk).
Image 2
Image 2
Coronal computed tomography of the pelvis shows the 7-centimeter cystic structure (star) within the pelvis with surrounding fluid. Along the right side of the cystic structure there is extension into the location of the area of the right fallopian tube (arrowheads).
Image 3
Image 3
Coronal T2 weighted magnetic resonance imaging of the pelvis demonstrates a 7-centimeter fluid signal tubal mass (star) with a twisted appearance of the torsed right fallopian tube (arrow).
See this image and copyright information in PMC

References

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