Adnexal Torsion After Isolated Salpingeal Torsion: an Undesired Complication of Conservative Management-A Case Report
AbstractObjective: Isolated salpingeal torsion (IST) is a rare cause of acute abdomen in women of thereproductive age group. The lack of pathognomonic clinical, laboratory or radiographic findings makesearly diagnosis a challenge. We describe a case of IST in a 13-year-old who suffered from a repeattorsion following initial conservative management.Case Report: A 13-year-old girl presented with acute right lower quadrant abdominal pain of insidiousonset. Her past medical history was non-contributory and her initial workup was unremarkable.Exploratory laparoscopy subsequently revealed isolated torsion of the right fallopian tube which wasdetorted. She presented 10 months later with similar complaints and further workup demonstrated rightadnexal torsion which was confirmed by laparoscopy; salpingo-oophorectomy was necessary due togangrenous necrosis.Conclusion: Conservative management of fallopian tube torsion confers the advantage of fertilitypreservation but the risk of repeat torsion remains clinically significant.
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