Ovary

Isolated Fallopian Tube Torsion

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Isolated Fallopian Tube Torsion, Fallopian Tube Torsion

  • See Also
  1. Ovarian Torsion
  • Epidemiology
  1. Rare (1 in 1.5 Million women, only cases reports in children)
  • Pathophysiology
  1. Tubal torsion without associated Ovarian Torsion
  • Causes
  • Intrinsic tubal abnormality
  1. Mass (e.g. Hydrosalpinx, Paratubal cyst, Neoplasm
  2. Adhesions (e.g. Endometriosis, Pelvic Inflammatory)
  • Management
  1. Similar to Ovarian Torsion
  2. Emergent laparoscopy
    1. Conservative treatment with tube preservation if revascularizes with detorsion
    2. Salpingectomy if tube necrotic (esp. >10 hours from onset)
  • References
  1. Davis and Bullard-Berent (2021) Crit Dec Emerg Med 35(12): 16-7