Open AccessIsolated Fallopian Tubal Torsion Complicated by a Large Hydrosalpinx in a Perimenopausal Woman
Author(s) -
Masanori Kanemura,
Atsushi Yoshida,
Akihiko Toji,
Yumi Murayama,
Emi Iwai
Publication year - 2021
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2021/47106.14619
Subject(s) - hydrosalpinx , medicine , fallopian tube , torsion (gastropod) , adnexal mass , salpingectomy , surgery , ovarian cyst , ovarian torsion , laparoscopy , abdominal cavity , abdomen , abdominal pain , radiology , cyst , pregnancy , ectopic pregnancy , infertility , genetics , biology
Adnexal torsion frequently causes acute pelvic pain in women. Ovarian tumour torsion is common; twisting and torsion of a fallopian tube are rare. This report presents a rare case of fallopian tubal torsion requiring the management of a large hydrosalpinx with laparoscopic surgery. A 48-year-old woman reported with acute abdominal pain and lower abdomen tenderness. Transvaginal ultrasonography and Magnetic Resonance Imaging (MRI) showed a cystic mass on the anterior uterine surface. Emergency surgery was performed for a suspected torsion of the left ovarian cyst. In the abdominal cavity, the left fallopian tube was enlarged (neonatal head size), dark purple coloured, and exhibited a 180° torsion; the left ovary was normal. Laparoscopic left salpingectomy was performed and the postoperative course was uneventful. Surgical pathology revealed hydrosalpinx with torsion. As diagnosing isolated fallopian tube torsion before surgery is difficult, laparoscopic surgery is useful in diagnosing and treating isolated tubal torsion.