Isolated torsion of bilateral fallopian tubes combined with tubal endometriosis: A case report.

Lim, Su Yeon; Park, Joon Cheol; Bae, Jin Gon; Kim, Jong In; Rhee, Jeong Ho

doi:2012.55.1.55

Obstet Gynecol Sci > Volume 55(1); 2012 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2012;55(1):55-58.
DOI: https://doi.org/10.5468/KJOG.2012.55.1.55 Published online January 1, 2012.

Isolated torsion of bilateral fallopian tubes combined with tubal endometriosis: A case report.

Su Yeon Lim, Joon Cheol Park, Jin Gon Bae, Jong In Kim, Jeong Ho Rhee

Department of Obstetrics and Gynecology, Keimyung University School of Medicine, Daegu, Korea. r1670416@dsmc.or.kr

Abstract

Torsion of the fallopian tube is less frequent. Indeed, isolated bilateral fallopian tube torsion is rare and often difficult to diagnose. The etiology of fallopian tube torsion is still uncertain, especially when this is not associated with torsion of the ovary. We present a case of the torsion of isolated bilateral fallopian tube combined with tubal endometriosis. A 30-year-old woman presented with chronic abdominal pain of 5-month duration and severe dysmenorrhea. Presumptive diagnosis by ultrasound and magnetic resonance imaging was both adnexal endometriosis. At laparoscopy, the fimbrial ends of both tubes were dilated, twisted and necrotic changes with adhesion to omentum, which subsequently led to terminal obstruction of that tube. However, both ovaries and uterus were normal. Laparoscopic bilateral salpingectomy was performed. The postoperative histological report confirmed hematosalpinx with tubal endometriosis. To our knowledge, this is the first case of isolated and bilateral fallopian tubes torsion combined with tubal endometriosis.

Key Words: Fallopian tube, Torsion, Endometriosis, Laparoscopy, Salpingectomy