IMR Press / CEOG / Volume 45 / Issue 1 / DOI: 10.12891/ceog4247.2018

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Laparoscopic tubal salvage in an adolescent girl with bilateral isolated tubal torsion
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1 Unità Operativa Dipartimentale Ginecologia Chirurgica e Endometriosi, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy
2 Dipartimento di Ostetricia e Ginecologia, Ospedale San Giuseppe, Università degli Studi di Milano, Milan, Italy
3 Unità Operativa di Ostetricia e Ginecologia, Casa di Cura Humanitas-San Pio X, Milan, Italy
Clin. Exp. Obstet. Gynecol. 2018, 45(1), 143–146; https://doi.org/10.12891/ceog4247.2018
Published: 10 February 2018
Abstract

Purpose of investigation: To report surgical treatment of a rare case of bilateral isolated fallopian tube torsion (IFTT). IFTT, especially when occurring bilaterally in adolescents, poses the dilemma of whether removing the salpinges, preventing the possibility of spontaneous conception, or restoring tubal patency, risking IFTT recurrence or a future ectopic pregnancy. Case Report: A 13-year-old, sexually inactive, presented after being discharged with the diagnosis of bilateral tubal ectasia from another hospital, where she received antibiotic treatment. At laparoscopy, bilateral IFTT was diagnosed. One tube was necrotic and a salpingectomy was performed. The contralateral tube presented a hydrosalpinx, but, once derotated and drained, appeared viable and salpingoneostomy and salpingopexy were performed. Six-month follow up was uneventful. Conclusion: in cases with an uncertain diagnosis, especially in young women in which tubal preservation is particularly important, laparoscopy allows an early diagnosis of tubal torsion and a conservative treatment before irreversible tubal necrosis occur.
Keywords
Isolated tubal torsion
Laparoscopic salpingoneostomy
Pediatric laparoscopy
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