title: Isolated torsion of fallopian tube in a premenarcheal 12-year-old girl.
abstract: Isolated torsion of fallopian tubes should be considered even at premenarcheal ages in cases of acute pelvic pain, and prompt surgery can preserve the tube and thus fertility. It is an uncommon emergency event and a difficult condition to evaluate clinically. This report focuses on a 12-year-old premenarcheal girl who presented with acute pelvic pain of 2 days. Pelvic ultrasound showed an adnexal mass on the left side. Laparoscopy was performed and an isolated tubal torsion was discovered. The tube was necrotic and salpingectomy was performed. The appendix appeared to be hyperemic and erectile. Appendectomy was also performed to rule out appendicitis. It's our recommendation that in the differential diagnosis of acute lower abdominal pain of girls, isolated torsion of the fallopian tubes should be considered. Also, preservation of the tube and fertility should be possible with prompt surgical intervention.
authors: Department of Obstetrics and Gynecology, Gulhane Military Medical Academy and Medical School, Ankara, Turkey. ugoktolga@yahoo.com
authors: Umit
authors: U
authors: Goktolga
authors: Temel
authors: T
authors: Ceyhan
authors: Haluk
authors: H
authors: Ozturk
authors: Sadettin
authors: S
authors: Gungor
authors: Nazif
authors: N
authors: Zeybek
authors: Ugur
authors: U
authors: Keskin
authors: Tolga
authors: T
authors: Ciftpinar
authors: Iskender
authors: I
authors: Baser
mesh_terms: D000208:Acute Disease; D002648:Child; D005184:Fallopian Tube Diseases / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D017699:Pelvic Pain / Q000209:etiology*; D014102:Torsion Abnormality