Laparoscopic management of a fallopian tubal torsion complicated by a large hydrosalpinx
Wei How Lim, Alphonse J Roex
Department of Obstetrics and Gynecology, Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia
Abstract: 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
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