Korean J Obstet Gynecol.  2012 Jan;55(1):55-58. 10.5468/KJOG.2012.55.1.55.

Isolated torsion of bilateral fallopian tubes combined with tubal endometriosis: A case report

• Lim SY
• Park JC
• Bae JG
• Kim JI
• Rhee JH

• KMID: 1836766
• DOI: http://doi.org/10.5468/KJOG.2012.55.1.55

Abstract

Torsion of the fallopian tube is less frequent. Indeed, isolated bilateral fallopian tube torsion is rare and often difficult to diagnose. The etiology of fallopian tube torsion is still uncertain, especially when this is not associated with torsion of the ovary. We present a case of the torsion of isolated bilateral fallopian tube combined with tubal endometriosis. A 30-year-old woman presented with chronic abdominal pain of 5-month duration and severe dysmenorrhea. Presumptive diagnosis by ultrasound and magnetic resonance imaging was both adnexal endometriosis. At laparoscopy, the fimbrial ends of both tubes were dilated, twisted and necrotic changes with adhesion to omentum, which subsequently led to terminal obstruction of that tube. However, both ovaries and uterus were normal. Laparoscopic bilateral salpingectomy was performed. The postoperative histological report confirmed hematosalpinx with tubal endometriosis. To our knowledge, this is the first case of isolated and bilateral fallopian tubes torsion combined with tubal endometriosis.

Keyword

Fallopian tube; Torsion; Endometriosis; Laparoscopy; Salpingectomy

MeSH Terms

Abdominal Pain
Adult
Dysmenorrhea
Endometriosis
Fallopian Tubes
Female
Humans
Laparoscopy
Magnetic Resonance Imaging
Omentum
Ovary
Salpingectomy
Uterus

Figure

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  Fig. 1 Pelvic magnetic resonance imaging (MRI). Axial MRI view of the pelvis.

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  Fig. 2 Laparoscopic views. (A) The lesion of torsion of the left fallopian tube. The fimbrial end of the left tube was adherent to the omentum and pelvic wall. (B) Adhesion of the torted right fallopian tube with the omentum. (C) Laparoscopic pelvic overview after adhesiolysis shows bilateral torted tubes and cystic dilatation at the distal portion. (D) Laparoscopic pelvic overview after bilateral salpingectomy shows normal uterus and both ovaries.

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