Torsion causing interruption of the ampullary portion of the fallopian tube.
OBJECTIVE
To present a description of a young girl who presented acutely with symptoms and findings that are consistent with acute adnexal torsion, where resultant outcome would have led to perception of a congenital anomaly.


METHODS
Case report.


METHODS
Tertiary pediatric hospital.


METHODS
A young girl who presented acutely with symptoms consistent with adnexal torsion but who was found to have a torsion affecting a paratubal cyst and the midsegment of her fallopian tube.


METHODS
A salpingectomy was performed because of damage involving the ischemic paratubal cyst and tubal segment that left too little residual tube to allow for a future anastomosis of the residual unaffected components.


METHODS
Operative findings, which give an explanation for midsegmental tubal absence.


RESULTS
This case challenges previous reports that absent midsegment of a tube is a rare congenital anomaly.


CONCLUSIONS
Absent midsegment of a tube can be explained as an acquired anomaly, rather than proposing an unusual congenital anomaly.
Department of Paediatric and Adolescent Gynaecology, Royal Children's Hospital, Melbourne, Australia. sonia.grover@rch.org.au
Sonia
S
Grover
D015746:Abdominal Pain / Q000209:etiology*; D002648:Child; D003560:Cysts / Q000150:complications; D005184:Fallopian Tube Diseases / Q000209:etiology* / Q000601:surgery; D005187:Fallopian Tubes / Q000002:abnormalities / Q000601:surgery; D005260:Female; D006801:Humans; D014102:Torsion Abnormality / Q000150:complications