title: Isolated fallopian tube torsion in pediatric and adolescent females: a retrospective review of 15 cases at a single institution.
abstract: OBJECTIVE
  To identify and review cases of isolated fallopian tube torsion (FTT) at our institution to further characterize diagnosis and management.
  
  
  METHODS
  Retrospective review.
  
  
  METHODS
  Tertiary care medical center.
  
  
  METHODS
  Case series of pediatric and adolescent females, <21 years old, with operatively diagnosed isolated fallopian tube torsion from our institution.
  
  
  METHODS
  None.
  
  
  METHODS
  Isolated fallopian tube torsion.
  
  
  RESULTS
  Fifteen cases of isolated fallopian tube torsion were identified based on intraoperative diagnosis. Patient ages ranged from 8-15 years old, mean age of 12. Fourteen patients (93%) presented with abdominal pain, 8 (53%) localized to the side of associated torsion. Ultrasonography reports described a tubular structure in 4 patients and an associated ovarian or paraovarian cyst in eleven patients. Suspicion of fallopian tube torsion was only described for those patients with a tubular structure described on ultrasonography report. Intraoperatively, 7 patients (47%) were found to have no associated pathology and 8 (53%) were found to have associated cyst or hydrosalpinx. Eight (53%) patients underwent salipingectomy and 7 (47%) underwent reversal of torsion with drainage of associated cyst or cystectomy.
  
  
  CONCLUSIONS
  Isolated fallopian tube torsion is a rare condition that seems to occur in younger adolescents. Vague clinical presentation contributes to low preoperative suspicion. Preoperative suspicion may be increased based on radiographic findings of an enlarged tubular structure or an adjacent normal ovary. Management may be considered nonemergent and salpingectomy is controversial. Long-term fertility outcomes must be further assessed for more definitive decisions regarding surgical management.
authors: Department of Obstetrics and Gynecology, The George Washington University Medical Center, Children's National Medical Center, Washington, DC 20037, USA. rkcasey@gwu.edu
authors: Rachel K
authors: RK
authors: Casey
authors: Lauren F
authors: LF
authors: Damle
authors: Veronica
authors: V
authors: Gomez-Lobo
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D002648:Child; D005184:Fallopian Tube Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D010048:Ovarian Cysts / Q000000981:diagnostic imaging; D012189:Retrospective Studies; D058994:Salpingectomy; D014102:Torsion Abnormality / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D014463:Ultrasonography