June 5th, 2020

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Isolated Fallopian Tube Torsion with Recurrence: A Case Report
Authors:  Ange Wang, M.D., Prachi Godiwala, M.D., Pejman Ghanouni, M.D., and Lynn M. Westphal, M.D.
BACKGROUND: Isolated fallopian tube torsion (IFTT) is a rare cause of abdominal pain that often presents with no specific symptoms or imaging features. We present one of the few cases of IFTT where initial tube salvage was possible through early imaging diagnosis, with a rare presentation of fallopian tube torsion recurrence.

CASE: A 32-year-old woman, G0, presented to the outpatient clinic with abdominal pain. She was afebrile with right lower quadrant tenderness, and urine pregnancy test was negative. Both ultrasonography and MRI showed a torsed right fallopian tube, which was detorsed during laparoscopy. The patient had complete resolution of symptoms for 10 months, until retorsion of the tube occurred and resulted in salpingectomy.

CONCLUSION: IFTT is a rare condition presenting with nonspecific symptoms. Recurrence of IFTT after detorsion is even more rare and warrants further investigation. Ultrasound and MRI imaging can be useful in facilitating fast diagnosis of IFTT, thereby increasing the chance of tube salvage.
Keywords:  abdominal pain/etiology, fallopian tube, fallopian tube diseases/complications, fallopian tube diseases/diagnostic imaging, fallopian tube diseases/surgery, fallopian tube torsion, imaging, MRI, salpingectomy, salvage, torsion, torsion abnormality/complications, torsion abnormality/diagnostic imaging, torsion abnormality/surgery, ultrasonography, ultrasound
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