Isolated fallopian tube torsion: a rare but important event for women of reproductive age.

OBJECTIVE

To report two cases of isolated fallopian tubal torsion that emphasize the rarity and difficult of diagnosis.

DESIGN

Case report.

SETTING

A district general hospital.

PATIENT(S): We report two cases of hematosalpinx due to torsion of the fallopian tube. The symptoms were not specific; both patients had acute lower abdominal pain. The first diagnosis in both cases was a torsion of a pelvic complex mass like a tumor.

INTERVENTION(S): Laparoscopy is necessary, but often surgery is performed too late to preserve the tube.

MAIN OUTCOME MEASURE(S): Resolution of symptoms with preservation of fertility.

RESULT(S): Both patients had the tube removed.

CONCLUSION(S): Early diagnosis and surgical intervention is mandatory when isolated fallopian tube torsion is suspected, particularly in a nulliparous young woman.