Isolated Fallopian Tube Torsion

  • Goran Augustin


Isolated Fallopian tube torsion is an extremely rare condition in pregnancy. There are less than 50 cases published. Risk factors include mechanical, anatomical, physiological, and pathologic conditions. Specificity of this condition is that more than 90% develop on the right side. Clinical presentation is the same as for adnexal torsion, and sometimes even with abdominal ultrasound, the preoperative distinction between adnexal and Fallopian tube torsion is not possible. Differential diagnosis is wide, as for adnexal torsion. As the condition appears predominantly on the right side, it is commonly misdiagnosed as an acute appendicitis. Suspicion of Fallopian tube torsion is an indication for operative intervention. Laparoscopy is the abdominal entry of choice. Detorsion is the procedure of choice even when ischemic changes are present. If vitality is not restored after detorsion, resection is indicated.


  1. 1.
    Bland-Sutton J. Salpingitis and some of its effects. Lancet. 1890;2:1146–8.CrossRefGoogle Scholar
  2. 2.
    Hamilton Bell R. Torsion of the pedicle in hydrosalpinx, and other morbid conditions of the Fallopian tube. BJOG. 1904;5:514–30.CrossRefGoogle Scholar
  3. 3.
    Hansen A. Tubetorsion mit Haematombildung und ihre aetiologie. Zentralbl Gynak. 1922;46:707–8.Google Scholar
  4. 4.
    Praeger J. Ueber Stieldrehung der Eileitergeschwülste. Arch Gynäk. 1899;58:579–92.CrossRefGoogle Scholar
  5. 5.
    McKerrow W. Torsion of fallopian tube during pregnancy. BMJ. 1934;1:850.CrossRefGoogle Scholar
  6. 6.
    Savage J. Twisted hematosalpinx complicating pregnancy. Am J Obstet Gynecol. 1936;32:1043–7.CrossRefGoogle Scholar
  7. 7.
    Sorem KA, Bengtson JM, Walsh B. Isolated fallopian tube torsion presenting in labor. A case report. J Reprod Med. 1991;36:763–4.PubMedGoogle Scholar
  8. 8.
    Milki A, Jacobson D. Isolated torsion of the fallopian tube. A case report. J Reprod Med. 1998;43:836–8.PubMedGoogle Scholar
  9. 9.
    Yalcin OT, Hassa HZS. Isolated torsion of fallopian tube during pregnancy; report of two cases. Eur J Obstet Gynecol Reprod Biol. 1997;74:179–82.CrossRefPubMedGoogle Scholar
  10. 10.
    Pansky M, Smorgick N, Lotan G, et al. Adnexal torsion involving hydatids of Morgagni: a rare cause of acute abdominal pain in adolescents. Obstet Gynecol. 2006;108:100–2.CrossRefGoogle Scholar
  11. 11.
    Hansen O. Isolated torsion of the Fallopian tube. Acta Obstet Gynecol Scand. 1970;49:3–6.CrossRefPubMedGoogle Scholar
  12. 12.
    Regard J. Etude Anatomo-Pathologique de la torsion des trompets uterines. Gynecol Obstet. 1933;27:519–35.Google Scholar
  13. 13.
    Phupong V, Intharasakda P. Twisted fallopian tube in pregnancy: a case report. BMC Pregnancy Childbirth. 2001;1:5.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Dueholm M, Praest J. Isolated torsion of the normal fallopian tube. Acta Obstet Gynecol Scand. 1987;66:89–90.CrossRefPubMedGoogle Scholar
  15. 15.
    Renjit S, Morale EU, Mathew M. Isolated torsion of a tubal ectopic pregnancy—a rare event. Oman Med J. 2008;23:289–90.PubMedPubMedCentralGoogle Scholar
  16. 16.
    Varghese U, Fajardo A, Gomathinayagam T. Isolated Fallopian tube torsion with pregnancy—a case report. Oman Med J. 2009;24:128–30.PubMedPubMedCentralGoogle Scholar
  17. 17.
    Chalmers J. Torsion of Fallopian tube during pregnancy. BMJ. 1952;1:1251.CrossRefGoogle Scholar
  18. 18.
    Basaranoglu S, Agaçayak E, Tunc SGT. A rare cause of acute abdomen in 3rd trimester of pregnancy: isolated tubal torsion. J Clin Case Rep. 2014;4:1000472.Google Scholar
  19. 19.
    Sikora-Szczęśniak DL, Michalak Z, Szczęśniak G, et al. Izolowany skręt torbieli okołojajowodowej w ciąży – opis przypadku. Med Og Nauk Zdr. 2013;19:230–3.Google Scholar
  20. 20.
    Grismondi GL, Marini ATS. Emergency surgical indications in pregnancy (3 rarely encountered cases). Minerva Ginecol. 1994;46:575–8.PubMedGoogle Scholar
  21. 21.
    Sun Y, Liu LL, Di J. Isolated tubal torsion in the third trimester of pregnancy: a case report and review of the literature. J Res Med Sci. 2014;19:1106–9.PubMedPubMedCentralGoogle Scholar
  22. 22.
    Akbay E, Idil NS, Yaşar L, et al. Isolated fallopian tube torsion in pregnancy: case report. Med J Bakırköy. 2009;5:35–6.Google Scholar
  23. 23.
    Batukan C, Ozgun MT, Turkyilmaz C, et al. Isolated torsion of the fallopian tube during pregnancy: a case report. J Reprod Med. 2007;52:545–7.Google Scholar
  24. 24.
    Origoni M, Cavoretto P, Ferrari A. Acute isolated tubal torsion in pregnancy due to twisted Morgagni hydatid. Minerva Ginecol. 2008;60:95–6.PubMedGoogle Scholar
  25. 25.
    Romano S, Bustan M, Shalev E. Fallopian tube detorsion in near-term pregnancy: a laparoscopic approach. Gynaecol Endosc. 2002;11:319–20.CrossRefGoogle Scholar
  26. 26.
    Chohan L, Ramirez MM, Wray CJ, et al. Laparoscopic management of fallopian tube torsion at 35 weeks of gestation: case report. J Minim Invasive Gynecol. 2011;18:390–2.CrossRefPubMedGoogle Scholar
  27. 27.
    Saito K, Hayashi M, Hashida O, et al. Fallopian tube torsion caused by paraovarian cyst at 37 weeks of gestation managed laparoscopically at six days after delivery: case report. Jpn J Gynecol Obstet Endosc. 2013;29:163–7.CrossRefGoogle Scholar
  28. 28.
    Sidiropoulou Z, Setúbal A. Acute abdomen in pregnancy due to isolated Fallopian tube torsion: the laparoscopic treatment of a rare case. World J Clin Cases. 2014;2:724–7.CrossRefPubMedPubMedCentralGoogle Scholar
  29. 29.
    Shakuntala PN, Rao SR, Poornima M, et al. A rare case of isolated torsion of haematosalphinx presenting as acute abdomen during pregnancy. Online J Health Allied Scs. 2012;11:1–3.Google Scholar
  30. 30.
    Bakacak M, Bakacak Z. Isolated torsion of fallopian tube complicating pregnancy: case report. Clin Exp Obstet Gynecol. 2014;41:362–3.PubMedGoogle Scholar
  31. 31.
    Simsek Y, Ustun Y, Kaymak O, et al. Hydronephrosis of pregnancy associated with torsion of the fallopian tube: a case report. Eur Rev Med Pharmacol Sci. 2011;15:448–51.PubMedGoogle Scholar
  32. 32.
    Duncan RP, Shah M. Laparoscopic salpingectomy for isolated fallopian tube torsion in the third trimester. Case Rep Obstet Gynecol. 2012;2012:239352.PubMedPubMedCentralGoogle Scholar
  33. 33.
    Yildirim N, Şahingöz Yildirim AG, Akdemir A, et al. Isolated torsion of the Fallopian tube with ectopic pregnancy: case report. Turkiye Klin J Gynecol Obstet. 2014;24:120–2.Google Scholar
  34. 34.
    Shirokane M, Kikuchi F, Satomi M, et al. Isolated torsion of a left normal fallopian tube during pregnancy. J Nippon Med Sch. 2011;78:40–1.CrossRefPubMedGoogle Scholar
  35. 35.
    Choudhary D, Biswas R, Nigam A. Isolated fallopian tube torsion in early pregnancy presenting as resolving appendicular lump. Eur Rev Med Pharmacol Sci. 2011;15:446–7.PubMedGoogle Scholar
  36. 36.
    Chambers JT, Thiagarajah S, Kitchin J III. Torsion of the normal fallopian tube in pregnancy. Obstet Gynecol. 1979;54:487–9.PubMedGoogle Scholar
  37. 37.
    Ellison NP, Chambers J. Torsion of Fallopian tube during pregnancy. BMJ. 1952;1:694.CrossRefPubMedGoogle Scholar
  38. 38.
    Işçi H, Güdücü N, Gönenç G, et al. Isolated tubal torsion in pregnancy—a rare case. Clin Exp Obstet Gynecol. 2011;38:272–3.PubMedGoogle Scholar
  39. 39.
    Isager-Sally L, Weber T. Torsion of the fallopian tube during pregnancy. Acta Obstet Gynecol Scand. 1985;64:349–51.CrossRefPubMedGoogle Scholar
  40. 40.
    McKenna PJ, Gerbert K. Isolated torsion of the uterine tube in pregnancy. A case report. J Reprod Med. 1989;34:187–8.PubMedGoogle Scholar
  41. 41.
    Kaur K, Verger C, Awala A. Isolated Fallopian-tube torsion: a case series. J Gynecol Surg. 2014;30:184–6.CrossRefGoogle Scholar
  42. 42.
    Walker P. A case of torsion of the fallopian tube in pregnancy. J Obstet Gynaecol Br Commonw. 1962;69:117–8.CrossRefGoogle Scholar
  43. 43.
    Lewis E. Torsion of a fallopian tube complicating pregnancy. Br J Clin Pract. 1962;16:540–3.Google Scholar
  44. 44.
    ten Cate A, Han S, Vliegen A, et al. Conservative surgery for left-sided isolated tubal torsion in pregnancy. JBR-BTR. 2011;94:212–3.PubMedGoogle Scholar
  45. 45.
    Youssef AF, Fayad MM, Shafeek M. Torsion of the fallopian tube. A clinico-pathological study. Acta Obstet Gynecol Scand. 1962;41:292–309.CrossRefPubMedGoogle Scholar
  46. 46.
    Bernardus RE, Van der Slikke JW, Roex A, et al. Torsion of the fallopian tube: some considerations on its etiology. Obstet Gynecol. 1984;64:675–8.PubMedGoogle Scholar
  47. 47.
    Tracey M, Fletcher H. Appendicitis in pregnancy. Am Surg. 2000;66:555–60.Google Scholar
  48. 48.
    Kaido Y, Kikuchi A, Kanasugi T, et al. Acute abdomen due to ovarian congestion: a fallopian tube accompanied by a paratubal cyst, coiling tightly round the ovary. J Obstet Gynaecol Res. 2013;39:402–5.CrossRefPubMedGoogle Scholar
  49. 49.
    Raziel A, Mordecahai E, Friedler S, et al. Isolated recurrent torsion of the fallopian tube. Hum Reprod. 1999;14:3000–1.CrossRefPubMedGoogle Scholar
  50. 50.
    Origoni M, Cavoretto P, Conti E, et al. Isolated tubal torsion in pregnancy. Eur J Obstet Gynecol Reprod Biol. 2009;146:116–20.CrossRefPubMedGoogle Scholar
  51. 51.
    Krissi H, Orvieto W, Dicker D, et al. Torsion of a fallopian tube following Pomeroy tubal ligation: a rare case report and review of the literature. Eur J Obstet Gynecol Reprod Biol. 1997;72:107–9.CrossRefPubMedGoogle Scholar
  52. 52.
    Kumru P, Köse G, Aka N, et al. Case report: isolated tubal torsion combined with contralateral tubal ectopic pregnancy. Zeynep Kamil Tip Bülteni. 2005;36:77–9.Google Scholar
  53. 53.
    Elchalal U, Caspi B, Schachter M, et al. Isolated tubal torsion: clinical and ultrasonographic correlation. J Ultrasound Med. 1993;12:115–7.CrossRefPubMedGoogle Scholar
  54. 54.
    Ghossain MA, Buy JN, Bazot M, et al. CT in adnexal torsion with emphasis on tubal findings: correlation with US. J Comput Assist Tomogr. 1994;18:619–25.CrossRefPubMedGoogle Scholar
  55. 55.
    Propeck PA, Scanlan K. Isolated fallopian tube torsion. Am J Roentgenol. 1998;170:1112–3.CrossRefGoogle Scholar
  56. 56.
    Baumgartel PB, Fleischer AC, Cullinan JA, et al. Color Doppler sonography of tubal torsion. Ultrasound Obstet Gynecol. 1996;7:367–70.CrossRefPubMedGoogle Scholar
  57. 57.
    Vijayaraghavan SB, Senthil S. Isolated torsion of the fallopian tube: the sonographic Whirlpool sign. J Ultrasound Med. 2009;28:657–62.CrossRefPubMedGoogle Scholar
  58. 58.
    Hiller N, Baum LA, Simanovsky N, et al. CT features of adnexal torsion. Am J Roentgenol. 2007;189:124–9.CrossRefGoogle Scholar
  59. 59.
    Krissi H, Shalev J, Bar-Hava I, et al. Fallopian tube torsion: laparoscopic evaluation and treatment of a rare gynecological entity. J Am Board Fam Pract. 2001;14:274–7.PubMedGoogle Scholar
  60. 60.
    Yen ML, Chen CA, Huang SC, et al. Laparoscopic cystectomy of a twisted, benign, ovarian teratoma in the first trimester of pregnancy. J Formos Med Assoc. 2000;99:345–7.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Goran Augustin
    • 1
    • 2
  1. 1.School of Medicine University of ZagrebZagrebCroatia
  2. 2.Department of SurgeryUniversity Hospital Centre ZagrebZagrebCroatia

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