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Case Reports in Obstetrics and Gynecology
Volume 2012 (2012), Article ID 239352, 3 pages
http://dx.doi.org/10.1155/2012/239352
Case Report

Laparoscopic Salpingectomy for Isolated Fallopian Tube Torsion in the Third Trimester

Department of Obstetrics and Gynaecology, Gosford Hospital, Gosford, NSW 2250, Australia

Received 5 July 2012; Accepted 27 August 2012

Academic Editors: E. Cosmi and A. Ohkuchi

Copyright © 2012 R. P. Duncan and M. M. Shah. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Isolated tubal torsion is a rare event. The clinical presentation is often nonspecific and the diagnosis is difficult, especially in the gravida abdomen. If left untreated, torsion can result in premature labour and foetal loss, as well as maternal morbidity. Here we present a case of isolated tubal torsion in a primigravida occurring in her third trimester and subsequent successful laparoscopic salpingectomy, rather than laparotomy. We discuss some of the diagnostic difficulties faced and approached to surgery as well as a brief review of the literature. In our case the women went on to successfully complete her pregnancy with no further complications.