Torsion of Hydrosalpinx with Concurrent Acute Cholecystitis: Case Report and Review of Literature

Table 1

Fallopian tube torsion: predisposing factors and theories for etiology [7, 8].

Intrinsic (directly related to Fallopian tube)	Inflammatory disease, hydrosalpinx, hematosalpinx
	Tubal neoplasms, for example, cyst of Morgagni, adenofibroma
	Congenital abnormalities, for example, stricture
	Venous congestion leading to spiraling of veins
	Tubal surgery: tubal ligation, reconstruction
	Physiological abnormalities: hypermobility, spasm, excessive length, or tortuosity
	Abnormal peristalsis due to autonomic dysfunction, drugs
	Anatomic malformations in tube or mesosalpinx
Extrinsic	Ovarian or paraovarian masses or cysts
	Uterine enlargement (pregnancy, tumors)
	Adhesions
	Mechanical factors/trauma to pelvic organs