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CASE REPORT
Year : 2020  |  Volume : 9  |  Issue : 4  |  Page : 241-244

Isolated tubal torsion: A rare cause of acute pelvic/abdominal pain among adolescent females


1 Department of Obstetrics and Gynecology, Rafik Hariri University Hospital; Department of Obstetrics and Gynecology, Lebanese University, Beirut, Lebanon
2 Department of Obstetrics and Gynecology, Rafik Hariri University Hospital; Faculty of Medicine, Beirut Arab University, Beirut, Lebanon
3 Department of Obstetrics and Gynecology, Rafik Hariri University Hospital, Beirut, Lebanon
4 Research Unit, Makassed General Hospital, Beirut, Lebanon

Correspondence Address:
Dr. Mohamad K Ramadan
Maternal-Fetal Medicine Unit, Rafik Hariri University Hospital, Beirut
Lebanon
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/GMIT.GMIT_91_19

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Tubal torsion usually occurs as a part of adnexal torsion that affects an ovary and the adjacent tube; however, isolated tubal torsion is an extremely rare condition. Usually, it presents as acute pelvic/abdominal pain but could also exhibit milder intermittent pain alternating with periods of relief (subacute). This condition has seldom been diagnosed preoperative and commonly results in tubal damage due to delayed management. We hereby, report the findings of two cases managed recently at our center. In both cases, the diagnosis was delayed 2–3 days and was only made intraoperative when the tubes could not be salvaged due to extensive necrosis. The extent of tubal damage is predominantly dependent on the duration of vascular insult; hence, the urgency for affecting early diagnosis and intervention to restore blood supply and preserve tubal integrity and function. We advocate the liberal and early use of laparoscopy in patients presenting with subacute unexplained pelvic/abdominal pain.


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