Isolated Fallopian Tube Torsion: Detorsion and Tubal Preservation

Shlomo M. Stemmer, MD, MS, Anna Shurshalina, MD, PhD

Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital, Philadelphia, PA, USA (Dr. Stemmer). Virtua Hospital, Voorhees, NJ, USA (Dr. Stemmer). Genesis Biotechnology Group, Medical Diagnostic Laboratories LLC, Hamilton, NJ, USA (Dr. Shurshalina).

ABSTRACT

Introduction: There has been a scarcity of cases of isolated fallopian tubes torsion in the literature.

Case Description: Isolated fallopian tube torsion in a 27-year-old woman was associated with a hydrosalpinx. Laparoscopic detorsion of the right fallopian tube was performed within 24 hours of the onset of clinical symptoms. Surgical management was based on evaluation of tubal status and visual restoration of local perfusion as evidenced by the pink color of the untwisted tube and tested patency.

Discussion: Conservative surgical management to maximize fertility preservation should be the goal of treatment of women of reproductive age. Successful salvaging of tubal integrity rests on a low threshold for surgical management, the time from onset of symptoms to detorsion, the degree of tissue damage due to ischemia, and predisposing factors for tubal torsion.

Key Words: Tubal torsion, Hydrosalpinx, Laparoscopy.

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