Laparoscopic salpingectomy for an isolated case of left fallopian tube torsion in a premenarcheal 13 years old

Isolated torsion of the fallopian tube without an ovarian abnormality is an uncommon clinical finding even rarer before menarche and postmenopause, with an incidence of approximately 1 in 1.5 million women. Left fallopian tube torsion is infrequent as compared to right. Here, we report a rare case o...

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Main Authors: Annabelle Sabu Vadukkut, Abhishek Mangeshikar, Sonam Jadhav, Sushil Kumar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Gynecology and Minimally Invasive Therapy
Subjects:
Online Access:http://www.e-gmit.com/article.asp?issn=2213-3070;year=2020;volume=9;issue=4;spage=245;epage=247;aulast=Vadukkut
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author Annabelle Sabu Vadukkut
Abhishek Mangeshikar
Sonam Jadhav
Sushil Kumar
author_facet Annabelle Sabu Vadukkut
Abhishek Mangeshikar
Sonam Jadhav
Sushil Kumar
author_sort Annabelle Sabu Vadukkut
collection DOAJ
description Isolated torsion of the fallopian tube without an ovarian abnormality is an uncommon clinical finding even rarer before menarche and postmenopause, with an incidence of approximately 1 in 1.5 million women. Left fallopian tube torsion is infrequent as compared to right. Here, we report a rare case of a prepubertal girl who presented with acute left abdominal pain. Ultrasound suggested normal ovaries, and a significant left hydrosalpinx and color-Doppler was done, which confirmed signs of left-sided fallopian tube torsion. On laparoscopy, her left fallopian tube was twisted around its axis five times with the signs of necrosis, a laparoscopic salpingectomy was performed. Laparoscopy is the gold standard for the diagnosis and management of this condition. A high index of suspicion is necessary to make an early diagnosis allowing conservative surgical management and hence fertility preservation.
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spelling doaj.art-921a884131444387b7bdd3021e5127662022-12-22T00:39:00ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702020-01-019424524710.4103/GMIT.GMIT_90_18Laparoscopic salpingectomy for an isolated case of left fallopian tube torsion in a premenarcheal 13 years oldAnnabelle Sabu VadukkutAbhishek MangeshikarSonam JadhavSushil KumarIsolated torsion of the fallopian tube without an ovarian abnormality is an uncommon clinical finding even rarer before menarche and postmenopause, with an incidence of approximately 1 in 1.5 million women. Left fallopian tube torsion is infrequent as compared to right. Here, we report a rare case of a prepubertal girl who presented with acute left abdominal pain. Ultrasound suggested normal ovaries, and a significant left hydrosalpinx and color-Doppler was done, which confirmed signs of left-sided fallopian tube torsion. On laparoscopy, her left fallopian tube was twisted around its axis five times with the signs of necrosis, a laparoscopic salpingectomy was performed. Laparoscopy is the gold standard for the diagnosis and management of this condition. A high index of suspicion is necessary to make an early diagnosis allowing conservative surgical management and hence fertility preservation.http://www.e-gmit.com/article.asp?issn=2213-3070;year=2020;volume=9;issue=4;spage=245;epage=247;aulast=Vadukkutacute abdominal painisolated left fallopian tube torsionlaparoscopic salpingectomypremarcheal pelvic pain
spellingShingle Annabelle Sabu Vadukkut
Abhishek Mangeshikar
Sonam Jadhav
Sushil Kumar
Laparoscopic salpingectomy for an isolated case of left fallopian tube torsion in a premenarcheal 13 years old
Gynecology and Minimally Invasive Therapy
acute abdominal pain
isolated left fallopian tube torsion
laparoscopic salpingectomy
premarcheal pelvic pain
title Laparoscopic salpingectomy for an isolated case of left fallopian tube torsion in a premenarcheal 13 years old
title_full Laparoscopic salpingectomy for an isolated case of left fallopian tube torsion in a premenarcheal 13 years old
title_fullStr Laparoscopic salpingectomy for an isolated case of left fallopian tube torsion in a premenarcheal 13 years old
title_full_unstemmed Laparoscopic salpingectomy for an isolated case of left fallopian tube torsion in a premenarcheal 13 years old
title_short Laparoscopic salpingectomy for an isolated case of left fallopian tube torsion in a premenarcheal 13 years old
title_sort laparoscopic salpingectomy for an isolated case of left fallopian tube torsion in a premenarcheal 13 years old
topic acute abdominal pain
isolated left fallopian tube torsion
laparoscopic salpingectomy
premarcheal pelvic pain
url http://www.e-gmit.com/article.asp?issn=2213-3070;year=2020;volume=9;issue=4;spage=245;epage=247;aulast=Vadukkut
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AT abhishekmangeshikar laparoscopicsalpingectomyforanisolatedcaseofleftfallopiantubetorsioninapremenarcheal13yearsold
AT sonamjadhav laparoscopicsalpingectomyforanisolatedcaseofleftfallopiantubetorsioninapremenarcheal13yearsold
AT sushilkumar laparoscopicsalpingectomyforanisolatedcaseofleftfallopiantubetorsioninapremenarcheal13yearsold