Torsion causing interruption of the ampullary portion of the fallopian tube.

OBJECTIVE

To present a description of a young girl who presented acutely with symptoms and findings that are consistent with acute adnexal torsion, where resultant outcome would have led to perception of a congenital anomaly.

DESIGN

Case report.

SETTING

Tertiary pediatric hospital.

PATIENT(S): A young girl who presented acutely with symptoms consistent with adnexal torsion but who was found to have a torsion affecting a paratubal cyst and the midsegment of her fallopian tube.

INTERVENTION(S): A salpingectomy was performed because of damage involving the ischemic paratubal cyst and tubal segment that left too little residual tube to allow for a future anastomosis of the residual unaffected components.

MAIN OUTCOME MEASURE(S): Operative findings, which give an explanation for midsegmental tubal absence.

RESULT(S): This case challenges previous reports that absent midsegment of a tube is a rare congenital anomaly.

CONCLUSION(S): Absent midsegment of a tube can be explained as an acquired anomaly, rather than proposing an unusual congenital anomaly.