title: Autoamputation of the fallopian tube after chronic adnexal torsion.
abstract: Autoamputation of the adnexa, although very rare, can either be congenital or acquired. For affected women it can have future fertility implications. Although in some women it is asymptomatic, in most cases a history of acute followed by chronic pelvic pain can be elicited. This is a case of autoamputation of a fallopian tube after chronic adnexal torsion. We suggest that all patients of reproductive age with acute lower abdominal pain should have a pelvic ultrasound scan and, if symptoms persist, early recourse to laparoscopy. Misdiagnosis can lead to ovarian damage, loss of tubal function, infertility, or chronic pelvic pain.
authors.affiliation: Department of Obstetrics and Gynecology, Whipps Cross University Hospital, London, UK. jimi@doctors.org.uk
authors.forename: Sridevi
authors.initials: S
authors.lastname: Sankaran
authors.forename: Anupama
authors.initials: A
authors.lastname: Shahid
authors.forename: F
authors.initials: F
authors.lastname: Odejinmi
mesh_terms: D000328:Adult; D005184:Fallopian Tube Diseases / Q000209:etiology* / Q000473:pathology; D005260:Female; D005350:Fibroma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D010048:Ovarian Cysts / Q000601:surgery; D010051:Ovarian Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D010052:Ovariectomy; D017699:Pelvic Pain / Q000209:etiology; D014102:Torsion Abnormality / Q000209:etiology* / Q000473:pathology / Q000601:surgery