II. Epidemiology

  1. Rare (1 in 1.5 Million women, only cases reports in children)

III. Pathophysiology

  1. Tubal torsion without associated Ovarian Torsion

IV. Causes: Intrinsic tubal abnormality

  1. Mass (e.g. Hydrosalpinx, Paratubal cyst, Neoplasm
  2. Adhesions (e.g. Endometriosis, Pelvic Inflammatory)

V. Management

  1. Similar to Ovarian Torsion
  2. Emergent laparoscopy
    1. Conservative treatment with tube preservation if revascularizes with detorsion
    2. Salpingectomy if tube necrotic (esp. >10 hours from onset)

VI. References

  1. Davis and Bullard-Berent (2021) Crit Dec Emerg Med 35(12): 16-7

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