title: Chronic isolated torsion of the left fallopian tube: a diagnostic dilemma.
abstract: BACKGROUND
  Chronic tubal torsion is a rare clinical entity.
  
  
  METHODS
  A 15-year-old adolescent presented with an 18-month history of intermittent lower abdominal pain at our outpatient department after various preceding consultations with different physicians. She was asymptomatic and showed no abnormality on physical examination. Ultrasound findings revealed a cystic structure adjacent to the left ovary. Diagnostic laparoscopy showed a twisted and dilated left fallopian tube with thickened wall and adherence to the pelvic sidewall. Following detorsion, there was no evidence of reperfusion. Consequently, a left salpingectomy was performed.
  
  
  CONCLUSIONS
  Chronic tubal torsion is a rare but possible differential diagnosis of current lower abdominal pain. Physicians should have a high index of suspicion.
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital Schleswig-Holstein, Campus Kiel, Michaelisstrasse 16, Kiel, Germany. schollmeyer@email.uni-kiel.de schollmeyer@email.uni-kiel.de
authors.forename: Thoralf
authors.initials: T
authors.lastname: Schollmeyer
authors.forename: Ayodapo Samuel
authors.initials: AS
authors.lastname: Soyinka
authors.forename: Mohamed
authors.initials: M
authors.lastname: Mabrouk
authors.forename: Walter
authors.initials: W
authors.lastname: Jonat
authors.forename: Liselotte
authors.initials: L
authors.lastname: Mettler
authors.forename: Ivo
authors.initials: I
authors.lastname: Meinhold-Heerlein
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D002908:Chronic Disease; D004108:Dilatation, Pathologic / Q000601:surgery; D005187:Fallopian Tubes / Q000098:blood supply / Q000601:surgery*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000601:surgery; D014102:Torsion Abnormality / Q000175:diagnosis* / Q000601:surgery