Fallopian Tube Torsion

A 24-year old G0 presented with acute lower abdominal pain with sudden onset three days ago, accompanied by nausea and vomiting. Just as the pain seemed to subside, the patient developed fever, which eventually led her to the clinic. The laboratory results revealed leucocytosis and increased CRP. The patient also mentioned periodic attacks of lower abdominal pain throughout the previous year, which on the contrary subsided a lot quicker.

Fallopian tube torsion is a rare condition caused mainly by the presence of enlarged paratubal cysts. If the treatment is delayed, a torsion may lead to necrosis, similar to the consequences of an adnexal torsion. You can read more about adnexal torsion, here.

Fallopian tube torsion laparoscopy
Image of the lower abdomen upon laparoscopic entry. The fallopian tube torsion on the left is evident.

You can watch the case video on youtube by clicking here.

Other articles on laparoscopy:

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