Isolated fallopian tube torsion in young females: A case series
Introduction: Isolated fallopian tube torsion (IFTT) is rare in the pediatric population. Its diagnosis is not always straightforward. Case presentation: Case 1: A 10-year-old premenarchal girl presented after four days of intermittent right iliac fossa pain, nausea, and vomiting. Pelvic ultrasound...
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Elsevier
2025-06-01
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| Series: | Journal of Pediatric Surgery Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576625000363 |
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| author | Bochra Aziza Yasmine Houas Asma Slimani Riadh Jouini |
| author_facet | Bochra Aziza Yasmine Houas Asma Slimani Riadh Jouini |
| author_sort | Bochra Aziza |
| collection | DOAJ |
| description | Introduction: Isolated fallopian tube torsion (IFTT) is rare in the pediatric population. Its diagnosis is not always straightforward. Case presentation: Case 1: A 10-year-old premenarchal girl presented after four days of intermittent right iliac fossa pain, nausea, and vomiting. Pelvic ultrasound (US) initially suggested a left ovarian torsion, showing an enlarged, 60 × 50 mm left ovary with no Doppler flow. She was taken to the operating room for an exploratory laparoscopy. We found an IFTT, with a totally normal left ovary. The left fallopian tube was completely necrotic, so a salpingectomy was done preserving the ovary. Case 2: A 13-year-old girl was admitted after 48 hours of pelvic pain and vomiting. US and computerized tomography (CT) scan showed an enlarged left ovary with preserved vascular flow, and an adjacent 32 x 25-mm cystic tubular formation. Suspecting ovarian torsion, she was taken to the operating room for an exploratory laparoscopy. The right fallopian tube was torsed, whereas the right ovary was normal. The left ovary and the left Fallopian tube were normal as well. Despite having a bluish discoloration after the detorsion, the right Fallopian tube was preserved. Case 3: A 12-year-old girl presented to our emergency department with severe intermittent abdominal pain and bilious vomiting. Abdominal US suggested IFTT, so she underwent a laparoscopic exploration. The right fallopian tube was enlarged and torsed. The right ovary was normal. We confirmed good reperfusion after the detorsion, so the right Fallopian tube was preserved. No obvious etiology for the torsion was found. Conclusion: IFTT in young females is rare and can be misdiagnosed as ovarian torsion on US or CT studies. |
| format | Article |
| id | doaj-art-2377abab7bf64f95a3c65e6d2409ed48 |
| institution | DOAJ |
| issn | 2213-5766 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj-art-2377abab7bf64f95a3c65e6d2409ed482025-08-20T03:13:45ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662025-06-0111710299110.1016/j.epsc.2025.102991Isolated fallopian tube torsion in young females: A case seriesBochra Aziza0Yasmine Houas1Asma Slimani2Riadh Jouini3Department of Pediatric Surgery A, Children's Hospital of Tunis, Tunisia; Faculty of medicine, Tunis El Manar University, TunisiaDepartment of Pediatric Surgery A, Children's Hospital of Tunis, Tunisia; Faculty of medicine, Tunis El Manar University, Tunisia; Corresponding author.Department of Pediatric Surgery A, Children's Hospital of Tunis, Tunisia; Faculty of medicine, Tunis El Manar University, TunisiaDepartment of Pediatric Surgery A, Children's Hospital of Tunis, Tunisia; Faculty of medicine, Tunis El Manar University, TunisiaIntroduction: Isolated fallopian tube torsion (IFTT) is rare in the pediatric population. Its diagnosis is not always straightforward. Case presentation: Case 1: A 10-year-old premenarchal girl presented after four days of intermittent right iliac fossa pain, nausea, and vomiting. Pelvic ultrasound (US) initially suggested a left ovarian torsion, showing an enlarged, 60 × 50 mm left ovary with no Doppler flow. She was taken to the operating room for an exploratory laparoscopy. We found an IFTT, with a totally normal left ovary. The left fallopian tube was completely necrotic, so a salpingectomy was done preserving the ovary. Case 2: A 13-year-old girl was admitted after 48 hours of pelvic pain and vomiting. US and computerized tomography (CT) scan showed an enlarged left ovary with preserved vascular flow, and an adjacent 32 x 25-mm cystic tubular formation. Suspecting ovarian torsion, she was taken to the operating room for an exploratory laparoscopy. The right fallopian tube was torsed, whereas the right ovary was normal. The left ovary and the left Fallopian tube were normal as well. Despite having a bluish discoloration after the detorsion, the right Fallopian tube was preserved. Case 3: A 12-year-old girl presented to our emergency department with severe intermittent abdominal pain and bilious vomiting. Abdominal US suggested IFTT, so she underwent a laparoscopic exploration. The right fallopian tube was enlarged and torsed. The right ovary was normal. We confirmed good reperfusion after the detorsion, so the right Fallopian tube was preserved. No obvious etiology for the torsion was found. Conclusion: IFTT in young females is rare and can be misdiagnosed as ovarian torsion on US or CT studies.http://www.sciencedirect.com/science/article/pii/S2213576625000363Fallopian tubeChildrenSurgeryTorsionCase series |
| spellingShingle | Bochra Aziza Yasmine Houas Asma Slimani Riadh Jouini Isolated fallopian tube torsion in young females: A case series Journal of Pediatric Surgery Case Reports Fallopian tube Children Surgery Torsion Case series |
| title | Isolated fallopian tube torsion in young females: A case series |
| title_full | Isolated fallopian tube torsion in young females: A case series |
| title_fullStr | Isolated fallopian tube torsion in young females: A case series |
| title_full_unstemmed | Isolated fallopian tube torsion in young females: A case series |
| title_short | Isolated fallopian tube torsion in young females: A case series |
| title_sort | isolated fallopian tube torsion in young females a case series |
| topic | Fallopian tube Children Surgery Torsion Case series |
| url | http://www.sciencedirect.com/science/article/pii/S2213576625000363 |
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