Isolated Tubal Torsion in the Absence of Ovarian Pathology: A Case Report and Literature Review.

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL

International Medical Case Reports Journal Pub Date : 2026-04-30 eCollection Date: 2026-01-01 DOI:10.2147/IMCRJ.S575102

Everett Lwamulungi, Prisca Ibe, Dickson Ndukwe Otaka

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引用次数: 0

Abstract

Background: Isolated fallopian tube torsion (IFTT) is an uncommon but important cause of acute lower abdominal pain, particularly in premenarchal girls. Its nonspecific clinical presentation and inconclusive imaging findings often lead to delayed or incorrect diagnosis.

Case presentation: We report the case of a 13-year-old premenarchal girl who presented with right iliac fossa pain and was initially found to have a para-ovarian mass on ultrasonography. Her symptoms temporarily subsided with conservative management; however, she re-presented with worsening pain. Diagnostic laparoscopy revealed torsion of the right fallopian tube associated with a hemorrhagic para-tubal cyst. A right salpingectomy was performed due to irreversible ischemic changes of the tube.

Conclusion: This case highlights the challenges of diagnosing IFTT in young females. It aims to increase awareness among clinicians as early surgical intervention can preserve tubal function and prevent complications.

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无卵巢病理的孤立性输卵管扭转1例报告及文献复习。

背景：孤立性输卵管扭转（IFTT）是一种罕见但重要的急性下腹痛原因，尤其是在青春期前的女孩中。其非特异性临床表现和不确定的影像学表现往往导致延误或不正确的诊断。病例介绍：我们报告一个13岁的月经前女孩，她表现为右髂窝疼痛，最初在超声检查中发现卵巢旁肿块。经保守治疗，症状暂时缓解；然而，她再次出现疼痛加剧的症状。诊断性腹腔镜检查显示右输卵管扭转伴出血性输卵管旁囊肿。由于输卵管不可逆的缺血性改变，行右侧输卵管切除术。结论：本病例突出了年轻女性IFTT诊断的挑战。它的目的是提高临床医生的认识，因为早期手术干预可以保护输卵管功能和预防并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Medical Case Reports Journal MEDICINE, GENERAL & INTERNAL-

CiteScore

1.40

自引率

0.00%

发文量

135

审稿时长

16 weeks

期刊介绍： International Medical Case Reports Journal is an international, peer-reviewed, open access, online journal publishing original case reports from all medical specialties. Submissions should not normally exceed 3,000 words or 4 published pages including figures, diagrams and references. As of 1st April 2019, the International Medical Case Reports Journal will no longer consider meta-analyses for publication.