Author(s): Comerci G, Colombo FM, Stefanetti M, Grazia G
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Abstract OBJECTIVE: To report two cases of isolated fallopian tubal torsion that emphasize the rarity and difficult of diagnosis. DESIGN: Case report. SETTING: A district general hospital. PATIENT(S): We report two cases of hematosalpinx due to torsion of the fallopian tube. The symptoms were not specific; both patients had acute lower abdominal pain. The first diagnosis in both cases was a torsion of a pelvic complex mass like a tumor. INTERVENTION(S): Laparoscopy is necessary, but often surgery is performed too late to preserve the tube. MAIN OUTCOME MEASURE(S): Resolution of symptoms with preservation of fertility. RESULT(S): Both patients had the tube removed. CONCLUSION(S): Early diagnosis and surgical intervention is mandatory when isolated fallopian tube torsion is suspected, particularly in a nulliparous young woman.
This article was published in Fertil Steril
and referenced in Journal of Clinical Case Reports