Case Report: The management of isolated tubal torsion with laparoscopic hotdog in bun technique.

Abstract

Isolated tubal torsion (ITT) is described as the rotation of the fallopian tube on its own axis without ipsilateral ovarian torsion. Tubal torsion may occur either in the midportion of the tube or around the ligamentous supports of tube. The incidence was reported to be approximately 1/1,500,000 women. It mostly occurs in reproductive-aged women, especially in women under 30 age while it is extremely rare in menopausal women and pre-pubertal girlsIts exact cause remains unclear. Anatomic abnormalities (Congenital Mullerian duct anomalies, long mesosalpinx, hydrosalpinx, hydatids of Morgagni, tubal neoplasm), physiological abnormalities (abnormal peristalsis or hypermotility of the tube, tubal spasm), hemodynamic abnormalities (venous congestion in the mesosalpinx), sudden body position changes, trauma, previous surgery or disease (tubal ligation, pelvic inflammatory disease), and uterine enlargement due to pregnancy or tumor are considered as predisposing factors.ITT is an uncommon gynecologic cause of acute lower abdominal pain in females. Clinical examination findings may mimic appendicitis, pyosalpinx, a complex adnexal cyst or a neoplasm.