Laparoscopic management of a fallopian tubal torsion complicated by a large hydrosalpinx

• Main Authors: Lim WH, Roex AJ
• Format: Article
• Language: English
• Published: Dove Medical Press 2011-11-01
• Series: International Journal of Women's Health
• Online Access: http://www.dovepress.com/laparoscopic-management-of-a-fallopian-tubal-torsion-complicated-by-a--a8628

Wei How Lim, Alphonse J RoexDepartment of Obstetrics and Gynecology, Lyell McEwin Hospital, Elizabeth Vale, South Australia, AustraliaAbstract: Clinical presentation of an adnexal mass is often non-specific and may mimic a range of gynecological pathology, as well as renal or gastrointestinal causes of lower abdominal pain. While a common entity, its association with a fallopian tube pathology is very uncommon. Imaging such as ultrasound has been diagnostic in the evaluation of a pelvic mass, and has been reported as assisting the diagnosis of fallopian tubal torsion. A pelvic mass of cystic nature can be removed by cystectomy, while treatment options for a torted fallopian tube include surgical detorsion if detected early, or a salpingectomy should there be evidence of necrosis. We report a rare case of fallopian tube torsion complicated by a large hydrosalpinx which was managed by laparoscopic surgery.Keywords: adnexal mass, laparoscopy, fallopian tube, torsion