title: Management of isolated tubal torsion in a premenarchal adolescent female with prior oophoropexy: a case report and review of the literature.
abstract: BACKGROUND
  Isolated tubal torsion in a premenarchal adolescent girl is a rare phenomenon. Preoperative diagnosis remains a challenge.
  
  
  METHODS
  A 14-year-old premenarchal girl, with a history of bilateral ovarian torsion treated by laparoscopic detorsion and oophoropexy two years prior, presented to the emergency room with lower abdominal pain accompanied by nausea and vomiting. Pelvic ultrasound demonstrated an enlarged left adnexa. Diagnostic laparoscopy revealed an isolated left tubal torsion. Surgical evidence of previous bilateral plication of the utero-ovarian ligaments was confirmed. Untwisting of the left fallopian tube immediately restored the vascular supply. Subsequently, her symptoms resolved.
  
  
  CONCLUSIONS
  Clinicians should consider torsion of the fallopian tube in the differential diagnosis of lower abdominal pain in all female patients. Prompt laparoscopic intervention is essential. Oophoropexy, while usually efficacious, may not prevent recurrence.
authors.affiliation: Department of Obstetrics and Gynecology, Hofstra North Shore-LIJ School of Medicine, Hempstead, NY 11040, USA.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Blitz
authors.forename: Heather
authors.initials: H
authors.lastname: Appelbaum
mesh_terms: D000293:Adolescent; D005184:Fallopian Tube Diseases / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010053:Ovary / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery; D014102:Torsion Abnormality / Q000175:diagnosis* / Q000601:surgery
keywords: Adnexal torsion; Oophoropexy; Ovarian fixation; Tubal torsion