Korean J Obstet Gynecol.  2010 Nov;53(11):1028-1032. 10.5468/kjog.2010.53.11.1028.

Isolated torsion of the hydrosalpinx after hysterectomy: A case report

• Lee JY
• Shin SH
• Ha JG
• Choi S
• Lee S
• Na SH
• Lee HA
• Lee DH
• Hwang JY

• KMID: 1836719
• DOI: http://doi.org/10.5468/kjog.2010.53.11.1028

Abstract

Isolated tubal torsion is a rare disease that causes acute lower abdominal pain. In most of cases, the ovary and the fallopian tube are together twisted due to an ovarian tumor, but the fallopian tube alone is rarely twisted. Tubal torsion mainly occurs in fertile women, and it rarely occurs prior to menarche and during menopause. We experienced a case where isolated tubal torsion occurred in a perimenopausal female with total abdominal hysterectomy, while the findings showed a normal ovary. We report this case with a brief review of related literature.

Keyword

Isolated tubal torsion; Hydrosalpinx; Total abdominal hysterectomy

MeSH Terms

Abdominal Pain
Fallopian Tubes
Female
Humans
Hysterectomy
Menarche
Menopause
Ovary
Rare Diseases

Figure

• 

  Figure 1 Large hypoechic cystic mass by ultrasonography. (A) There is internal echogenicity in cyst. (B) The figure shows that there is partial septum such as haustra coli in cyst.

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  Figure 2 Large hydrosalpinx in pelvic cavity. (A) There is an 8.3 cm sized cystic lesion with enhanced thin rim by computed tomography. This is a tubular structure with multiple cystic lesions such as hydrosalpinx. (B) The normal looking appearance ovaries (arrows) are shown.

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  Figure 3 This photograph is gross and microscopic finding of hydrosalpinx after surgical excision. (A) Gross photograph shows edematous and congested mass. (B) There is marked tubal congestion with hydrosalpinx. This photograph shows the dilated fallopian tube including marked hemorrhagic and congested wall (arrow) with edematous plicae (arrowhead). (H&E stain, ×100).

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