Isolated torsion of the fallopian tube during pregnancy: a case report.
BACKGROUND
Isolated fallopian tube torsion during pregnancy is a rare condition, and only 16 cases have been reported. In all but 1 case the right tube was affected. We report the second case of isolated left fallopian tube torsion during pregnancy.


METHODS
A 23-year-old primigravida presented at 22 weeks of gestation with left lower abdominal pain. Sonography depicted a simple cystic mass adjacent to the left uterine border. Laparotomy revealed torsion of the left hydrosalpinx together with a paraovarian cyst. The patient delivered a healthy infant at term after an otherwise-uneventful pregnancy.


CONCLUSIONS
As the gravid uterus increases the risk for fallopian tube torsion, this condition should be included in the differential diagnosis of lower abdominal pain during pregnancy.
Batukan
Cem
C
Department of Obstetrics and Gynecology, Faculty of Medicine, Erciyes University, 38039 Kayseri, Turkey. cbatukan@erciyes.edu.tr
Ozgun
Mahmut Tuncay
MT
Turkyilmaz
Cagdas
C
Tayyar
Mehmet
M
D000328:Adult; D003937:Diagnosis, Differential; D005184:Fallopian Tube Diseases / Q000473:pathology* / Q000601:surgery; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D010048:Ovarian Cysts / Q000473:pathology* / Q000601:surgery; D010052:Ovariectomy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology* / Q000601:surgery; D014102:Torsion Abnormality / Q000473:pathology* / Q000601:surgery