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Case Reports in Obstetrics and Gynecology
Volume 2013, Article ID 479698, 3 pages
Case Report

Isolated Fallopian Tube Torsion

Department of Obstetrics and Gynecology, Regional Hospital OBV, Via Turconi 23, Ticino, 6850 Mendrisio, Switzerland

Received 10 June 2013; Accepted 9 July 2013

Academic Editors: C. Ficicioglu, C. S. Hsu, P. McGovern, and S. Salhan

Copyright © 2013 S. Kardakis et al. 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.


Isolated torsion of the Fallopian tube is a rare gynecological cause of acute lower abdominal pain, and diagnosis is difficult. There are no pathognomonic symptoms; clinical, imaging, or laboratory findings. A preoperative ultrasound showing tubular adnexal masses of heterogeneous echogenicity with cystic component is often present. Diagnosis can rarely be made before operation, and laparoscopy is necessary to establish the diagnosis. Unfortunately, surgery often is performed too late for tube conservation. Isolated Fallopian tube torsion should be suspected in case of acute pelvic pain, and prompt intervention is necessary.