Chronic isolated fallopian tube torsion.
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.
Phillips
Kameelah
K
NYU Fertility Center, Department of Obstetrics and Gynecology, New York University School of Medicine, 660 First Avenue, New York, NY 10016, USA.
Fino
M Elizabeth
ME
Kump
Lisa
L
Berkeley
Alan
A