title: Chronic isolated fallopian tube torsion.
abstract: OBJECTIVE
  To describe a case of chronic isolated fallopian tubal torsion in a woman without identifiable risk factors and discuss the difficulty of diagnosis.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University-based reproductive endocrinology and infertility center.
  
  
  METHODS
  Multiparous woman with no risk factors of torsion of the fallopian tube presenting with chronic right lower quadrant pain.
  
  
  METHODS
  Laparoscopy with subsequent salpingectomy.
  
  
  METHODS
  Resolution of symptoms. Preservation of ovary and future fertility.
  
  
  RESULTS
  Patient's symptoms resolved after salpingectomy. Information regarding future fertility is pending.
  
  
  CONCLUSIONS
  Isolated fallopian tube torsion is rare and often difficult to diagnose. Despite ultrasonographic evidence of arterial and/or venous flow to the adnexa, adnexal torsion cannot be ruled out. If clinical suspicion for torsion is high, early diagnosis and treatment via laparoscopy is encouraged as a means of preserving fallopian tube integrity and maintaining fertility, especially in reproductive-age women.
authors.affiliation: NYU Fertility Center, Department of Obstetrics and Gynecology, New York University School of Medicine, 660 First Avenue, New York, NY 10016, USA.
authors.forename: Kameelah
authors.initials: K
authors.lastname: Phillips
authors.forename: M Elizabeth
authors.initials: ME
authors.lastname: Fino
authors.forename: Lisa
authors.initials: L
authors.lastname: Kump
authors.forename: Alan
authors.initials: A
authors.lastname: Berkeley