Isolated Fallopian Tube Torsion: A Rare Cause of Acute Abdomen in Puerperium

Abstract

Fallopian tube torsion is a type of adnexal torsion and usually occurs in association with an ovarian torsion (termed as tubo-ovarian torsion). Isolated fallopian tube torsion (IFTT) is an extremely rare cause of abdominal pain requiring prompt recognition and treatment. Diagnosis of IFTT during puerperium can be challenging due to the nonspecific nature of clinical features and uncommon objective findings. The management of IFTT is often delayed because of the diagnostic dilemmas. Diagnostic imaging may be suggestive but the diagnosis is often made in retrospect following the surgical intervention. Early recognition and quick intervention are crucial to preserve adnexal function and to minimize morbidity. We describe a case of IFTT in a grand multiparous woman presenting with acute onset right iliac fossa pain and vomiting on the first day postpartum and discuss the difficulties faced in the management of this case along with a review of the literature.

J Clin Gynecol Obstet. 2021;10(1):28-32
doi: https://doi.org/10.14740/jcgo706