Fallopian Tube Torsion: Laparoscopic Evaluation and Treatment of a Rare Gynecological Entity

Haim Krissi, MD, Josef Shalev, MD, Itai Bar-Hava, MD, Rami Langer, MD, Arie Herman, MD, and Boris Kaplan, MD, Department of Obstetrics and Gynecology, Rabin Medical Center, Beilinson Campus, Petah Tiqva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

J Am Board Fam Med. 2001;14(4) 

In This Article

Clinical Manifestations

The most common symptom of fallopian tube torsion is convulsive pain at the waist or pelvis, projecting to the side of the tubal torsion. The pain tends to increase with time and to radiate to the thigh, with rebound tenderness and some stiffness of the abdomen on the affected side. It is often accompanied by gastrointestinal symptoms, such as nausea and vomiting, and urinary frequency and urgency with voiding difficulties. Intestinal peristalsis is usually normal. A sensitive adnexal mass might be found during a vaginal examination. Cervical motion tenderness can mimic tuboovarian abscess or pelvic inflammatory disease.[21] The lack of specificity of the clinical signs and symptoms and the numerous pathologic findings in the pelvis and lower abdomen often fail to alert the physician to the condition, making diagnosis difficult.[15,22,23]

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