Laparoscopic Management of Isolated Fallopian Tube Torsion in Pregnancy.
Thomas Joyce, Oluwasemilore Oluwagbenro, Isabel Sanchez et al.
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Case in brief
A 20-year-old pregnant woman at 28 weeks gestation presented with acute right lower quadrant pain. Diagnostic laparoscopy revealed a necrotic, torsed right fallopian tube alongside a paratubal cyst. The patient underwent salpingectomy, and the pregnancy progressed to term without complications, highlighting the effectiveness of laparoscopic intervention in such cases.
Diagnostic / clinical pearl
Clinicians should consider isolated fallopian tube torsion in pregnant patients presenting with acute abdominal pain, as its symptoms can mimic more common conditions like ovarian torsion.
Why it matters
This case underscores the importance of timely diagnosis and laparoscopic management of isolated fallopian tube torsion during pregnancy, which can lead to favorable outcomes for both mother and fetus.