Open AccessLaparoscopic salpingectomy for an isolated case of left fallopian tube torsion in a premenarcheal 13 years old
Author(s) -
Annabelle Sabu Vadukkut,
Abhishek Mangeshikar,
Sonam Jadhav,
Sushil Kumar
Publication year - 2020
Publication title -
gynecology and minimally invasive therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.441
H-Index - 12
eISSN - 2213-3089
pISSN - 2213-3070
DOI - 10.4103/gmit.gmit_90_18
Subject(s) - medicine , hydrosalpinx , fallopian tube , laparoscopy , salpingectomy , surgery , ovarian torsion , infertility , pregnancy , ectopic pregnancy , genetics , biology
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.