Title: MR Evaluation of Isolated Fallopian Tubal Torsion, Rare Cause of Lower Abdominal Pain in Perimenopausal Age – Report of Two Cases and Mini Review
Authors: Dr. Ankit Agrawal, Dr. Praveen Kumar P
DOI: http://dx.doi.org/10.18535/jmscr/v3i9.66
Introduction: Isolated fallopian tubal torsion is a rare entity causing lower abdominal pain, occurring predominantly in the reproductive age group and common on right side. Certain risk factors like hydro/hematosalpinx, previous tubal ligation, abnormal mesosalpinx and hypermotility of tube predispose to tubal torsion. Most cases are usually undiagnosed pre operatively because of non-specific symptoms, physical findings and imaging features. Case Reports: Here we are presenting two women of perimenopausal age presenting with fallopian tubal torsion with previous history of tubal sterilization, which were diagnosed preoperatively by MR imaging. Conclusions: Isolated fallopian tubal torsion should be considered in the differential diagnosis for acute lower abdominal/pelvic pain in women of any age group with particular risk factors. Sometimes ultrasound may not be able to diagnose this condition preoperatively, in such cases MRI imaging plays an important role and help in prompt intervention to avoid further catastrophic complications. Key words: Fallopian tube, Torsion, Perimenopausal age, Magnetic Resonance Imaging 1. Raziel A, Mordechai E, Friedler S, Schachter M, Pansky M, Ron-El R. Isolated recurrent torsion of the fallopian tube: case report. Hum Reprod1999; 14:3000–3001 2. Ferrera PC, Kass LE, Verdile VP. Torsion of the fallopian tube. Am J Emerg Med 1995; 13:312–314. 3. Shukla R. Isolated torsion of the hydrosalpinx: A rare presentation. BJR, 77(2004), 784-786. 4. Krissi H, Orvieto R, Dicker D, Dekel A, Ben Rafael Z. Torsion of a fallopian tube following Pomeroy tubal ligation: a rare case report and review of the literature. EurJObstetGynecolReprod Biol. 1997; 72:107-109. 5. Richards, H.M, Parsons, R.B, Broadman, K.F. et al. (1998) Torsion of the fallopian tube: progression of sonographic features. J. Clin. Ultrasound, 27, 374–376. 6. Bharathi A, MangalaGowri. Torsion of fallopian tube and hematosalpinx in perimenopausal women-A case report. Journal of Clinical and Diagnostic Research. 2013 April, Vol-7(4): 731-733 7. BoopathyVijayaraghavan S, SathiyaSenthil. Isolated torsion of the fallopian tube - The sonographic Whirlpool Sign. J Ultrasound Med 2009; 28:657–662. 8. Elchalal U, Caspi B, Schachter M, Borenstein R. Isolated tubal torsion: clinical and ultrasonographic correlation. J Ultrasound Med 1993; 12:115–7. 9. 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 -625. 10. Megan Gross, Sylvie L. Blumstein, Lawrence C. Chow. Isolated fallopian tube torsion: A rare twist on a common theme. AJR 2005; 185:1590–1592Abstract
References