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Fallopian tube torsion

MedGen UID:
541786
•Concept ID:
C0269169
•
Anatomical Abnormality; Pathologic Function
Synonyms: Torsion of fallopian tube; Twisted fallopian tube
SNOMED CT: Torsion of fallopian tube (46946009)
 
HPO: HP:0012884

Definition

A twisting of the Fallopian tube. Sudden onset with sharp, colicky pelvic pain associated with nausea, vomiting, bowel, and bladder symptoms is the usual presentation. [from HPO]

Professional guidelines

PubMed

Adnexal Masses: Diagnosis and Management.
Wheeler V, Umstead B, Chadwick C
Am Fam Physician 2023 Dec;108(6):580-587. PMID: 38215419
Adnexal torsion in symptomatic women: a single-centre retrospective study of diagnosis and management.
Resapu P, Rao Gundabattula S, Bharathi Bayyarapu V, Pochiraju M, Surampudi K, Dasari S
J Obstet Gynaecol 2019 Apr;39(3):349-354. Epub 2018 Nov 8 doi: 10.1080/01443615.2018.1494702. PMID: 30406700
Best practice in management of paediatric and adolescent hydrosalpinges: a systematic review.
Kazmi Z, Gupta S
Eur J Obstet Gynecol Reprod Biol 2015 Dec;195:40-51. Epub 2015 Oct 8 doi: 10.1016/j.ejogrb.2015.09.042. PMID: 26476798

Recent clinical studies

Etiology

Surgical disorders in pediatric and adolescent gynecology: Adnexal abnormalities.
Mentessidou A, Mirilas P
Int J Gynaecol Obstet 2023 Jun;161(3):702-710. Epub 2022 Nov 26 doi: 10.1002/ijgo.14574. PMID: 36373872
Clinical features of isolated Fallopian tube torsion: evidence from a large series.
Meyer R, Meller N, Mohr-Sasson A, Toussia-Cohen S, Machtinger R, Bart Y, Mashiach R, Levin G
Hum Fertil (Camb) 2023 Dec;26(5):971-977. Epub 2022 Feb 4 doi: 10.1080/14647273.2022.2034056. PMID: 35114880
Isolated Fallopian Tube Torsion: An Underdiagnosed Entity with Debatable Management.
Hagege R, Sharvit M, Hamou B, Barzilay E, Pansky M, Barel O
J Minim Invasive Gynecol 2022 Jan;29(1):158-163. Epub 2021 Aug 8 doi: 10.1016/j.jmig.2021.07.019. PMID: 34371191
Isolated fallopian tube torsion with hydrosalpinx: Review of a debated management in a pediatric population.
Bertozzi M, Magrini E, Riccioni S, Giovenali P, Appignani A
J Pediatr Surg 2017 Oct;52(10):1553-1560. Epub 2017 Jul 13 doi: 10.1016/j.jpedsurg.2017.07.005. PMID: 28735977
Adnexal torsion: review of the literature.
Sasaki KJ, Miller CE
J Minim Invasive Gynecol 2014 Mar-Apr;21(2):196-202. Epub 2013 Oct 12 doi: 10.1016/j.jmig.2013.09.010. PMID: 24126258

Diagnosis

Isolated Fallopian Torsion: A Pediatric Case Series.
Crosier CJ, Ricca RL
Am Surg 2023 Sep;89(9):3917-3919. Epub 2023 May 19 doi: 10.1177/00031348231175118. PMID: 37204787
Isolated Fallopian Tube Torsion: An Underdiagnosed Entity with Debatable Management.
Hagege R, Sharvit M, Hamou B, Barzilay E, Pansky M, Barel O
J Minim Invasive Gynecol 2022 Jan;29(1):158-163. Epub 2021 Aug 8 doi: 10.1016/j.jmig.2021.07.019. PMID: 34371191
Fallopian Tube Torsion.
Lim LM, Lin HZ
N Engl J Med 2020 Jan 2;382(1):73. doi: 10.1056/NEJMicm1907697. PMID: 31893517
CT and MR Imaging of Gynecologic Emergencies.
Iraha Y, Okada M, Iraha R, Azama K, Yamashiro T, Tsubakimoto M, Aoki Y, Murayama S
Radiographics 2017 Sep-Oct;37(5):1569-1586. Epub 2017 Jul 28 doi: 10.1148/rg.2017160170. PMID: 28753380
Ovarian and tubal torsion: imaging findings on US, CT, and MRI.
Lourenco AP, Swenson D, Tubbs RJ, Lazarus E
Emerg Radiol 2014 Apr;21(2):179-87. doi: 10.1007/s10140-013-1163-3. PMID: 24078282

Therapy

Laparoscopic surgery for fallopian tube torsion due to benign tumour in the third trimester of pregnancy: a case report and literature review.
Jo JY, Cho IA, Shin JK, Lee SA, Choi WJ
J Obstet Gynaecol 2022 Oct;42(7):2566-2572. Epub 2022 Aug 5 doi: 10.1080/01443615.2022.2107421. PMID: 35929982
Is post hysterectomy adnexal torsion a complication of laparoscopic approach? A retrospective cohort study.
Ravid E, Klein Z, Arbib N, Sharvit M, Josephy D, Schonman R
Eur J Obstet Gynecol Reprod Biol 2019 Sep;240:347-350. Epub 2019 Jul 22 doi: 10.1016/j.ejogrb.2019.07.029. PMID: 31386999
Adnexal torsion: review of the literature.
Sasaki KJ, Miller CE
J Minim Invasive Gynecol 2014 Mar-Apr;21(2):196-202. Epub 2013 Oct 12 doi: 10.1016/j.jmig.2013.09.010. PMID: 24126258
Diagnosis and laparoscopic management of a fallopian tube torsion following Irving tubal sterilization: a case report.
Sozen I, Kadako R, Fleischman S, Arici A
Surg Endosc 2002 Jan;16(1):217. Epub 2001 Nov 12 doi: 10.1007/s004640041031. PMID: 11961651
Torsion of a fallopian tube following Pomeroy tubal ligation: a rare case report and review of the literature.
Krissi H, Orvieto R, Dicker D, Dekel A, Ben Rafael Z
Eur J Obstet Gynecol Reprod Biol 1997 Mar;72(1):107-9. doi: 10.1016/s0301-2115(96)02656-5. PMID: 9076432

Prognosis

Factors Associated With Isolated Fallopian Tube Torsion in Pediatric Patients.
Schwartz B, Weerasooriya N, Mercier R, Gould S, Saul D, Berman L
J Pediatr Surg 2024 Aug;59(8):1538-1544. Epub 2024 Mar 29 doi: 10.1016/j.jpedsurg.2024.03.054. PMID: 38649311
Isolated fallopian tube torsion with paraovarian cysts: a case report and literature review.
Qian L, Wang X, Li D, Li S, Ding J
BMC Womens Health 2021 Sep 28;21(1):345. doi: 10.1186/s12905-021-01483-2. PMID: 34583677Free PMC Article
Isolated torsion of the fallopian tube in a menopausal woman and a pre-pubertal girl: two case reports.
Toyoshima M, Mori H, Kudo K, Yodogawa Y, Sato K, Kudo T, Igeta S, Makino H, Shima T, Matsuura R, Ishigaki N, Akagi K, Takeyama Y, Iwahashi H, Yoshinaga K
J Med Case Rep 2015 Nov 17;9:258. doi: 10.1186/s13256-015-0745-y. PMID: 26572791Free PMC Article
Isolated Fallopian Tube Torsion - A Challenge for the Timely Diagnosis and Treatment.
Jokić R, Lovrenski J, Lovrenski A, Trajković V
Srp Arh Celok Lek 2015 Jul-Aug;143(7-8):471-5. doi: 10.2298/sarh1508471j. PMID: 26506761
Isolated torsion of fallopian tube complicating pregnancy: case report.
Bakacak M, Bakacak Z
Clin Exp Obstet Gynecol 2014;41(3):362-3. PMID: 24992798

Clinical prediction guides

Factors Associated With Isolated Fallopian Tube Torsion in Pediatric Patients.
Schwartz B, Weerasooriya N, Mercier R, Gould S, Saul D, Berman L
J Pediatr Surg 2024 Aug;59(8):1538-1544. Epub 2024 Mar 29 doi: 10.1016/j.jpedsurg.2024.03.054. PMID: 38649311
Recognizing the features of Isolated Fallopian Tube Torsion on CT and MRI and interobserver agreement: A cross-sectional study.
Coutureau J, Mandoul C, Curros-Doyon F, Millet I, Taourel P
Eur J Radiol 2022 Dec;157:110607. Epub 2022 Nov 13 doi: 10.1016/j.ejrad.2022.110607. PMID: 36410090
Isolated Fallopian Tube Torsion: An Underdiagnosed Entity with Debatable Management.
Hagege R, Sharvit M, Hamou B, Barzilay E, Pansky M, Barel O
J Minim Invasive Gynecol 2022 Jan;29(1):158-163. Epub 2021 Aug 8 doi: 10.1016/j.jmig.2021.07.019. PMID: 34371191
Adnexal torsion: review of the literature.
Sasaki KJ, Miller CE
J Minim Invasive Gynecol 2014 Mar-Apr;21(2):196-202. Epub 2013 Oct 12 doi: 10.1016/j.jmig.2013.09.010. PMID: 24126258
Isolated fallopian tube torsion: a series of six cases.
Wong SW, Suen SH, Lao T, Chung KH
Acta Obstet Gynecol Scand 2010 Oct;89(10):1354-6. doi: 10.3109/00016349.2010.503870. PMID: 20726829

Recent systematic reviews

IFTT in children and adolescents-single-center experience and systematic review of literature.
Meyer J, Steinhoff-Kellner A, Stehr M, Schäfer FM
Pediatr Surg Int 2024 May 30;40(1):143. doi: 10.1007/s00383-024-05719-8. PMID: 38816521
Isolated fallopian tube torsion: A systematic review of case reports.
Varghese S, Seldon Y, Raperport C, Rinne N, Patel K, Zaid RZ
Eur J Obstet Gynecol Reprod Biol 2024 May;296:140-147. Epub 2024 Feb 29 doi: 10.1016/j.ejogrb.2024.02.050. PMID: 38432020

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