放射学组学杂志

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Isolated Fallopian Tube Torsion: A Case Report and Review of Literature

Kevin S Baker, Ammar A Chaudhry and Rajarsi Gupta

Isolated fallopian tube torsion is a rare cause of pelvic pain in female patients. We present the case of a 10 year old female without significant past medical history who presented with acute left lower quadrant abdominal pain. A CT scan of the abdomen/pelvis showed a dilated, tortuous, fluid-filled structure in the left adnexal region which was ultimately diagnosed as a torsed fallopian tube. Subsequent trans abdominal ultrasound examination documented the fallopian tube’s lack of vascularity with color Doppler and demonstrated thickened, edematous walls and longitudinal folds. The ipsilateral ovary maintained normal vascularity and was unremarkable. The patient underwent laparoscopic salpingectomy, and pathologic examination of the specimen confirmed hemorrhagic fallopian tube necrosis. The patient recovered without complication, and has not experienced any pain recurrence since the procedure.