Diagnosis and laparoscopic management of a fallopian tube torsion following Irving tubal sterilization: a case report

Surg Endosc. 2002 Jan;16(1):217. doi: 10.1007/s004640041031. Epub 2001 Nov 12.

Abstract

Tubal torsion is a very rare but serious clinical entity. Its occurrence has been reported following Pomeroy tubal ligation and laparoscopic tubal cauterization. The following case report will be the first one describing a tubal torsion after an Irving tubal ligation in a patient who also had a history of pelvic inflammatory disease (PID). This study includes the presentation of a case of tubal torsion that is diagnosed and managed laparoscopically and the review of the literature through a computerized search of MEDLINE for relevant cases in the English literature published between January 1966 and July 1999. The patient is a 26-year-old woman with a history of PID and Irving tubal ligation. She presented with a second episode of acute right lower quadrant pain. The patient underwent a diagnostic laparoscopy and was found to have a 6 x 5 cm hemorrhagic and necrotic fallopian tube consistent with torsion of the right tube. A right salipingectomy was done laparoscopically. Combination of PID and tubal sterilization in the medical history of a patient presenting with acute or intermittent pelvic pain may suggest tubal torsion.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Fallopian Tube Diseases / diagnosis*
  • Fallopian Tube Diseases / etiology
  • Fallopian Tube Diseases / surgery*
  • Female
  • Gynecologic Surgical Procedures / methods
  • Humans
  • Laparoscopy / methods*
  • Sterilization, Tubal / adverse effects*
  • Torsion Abnormality / surgery*