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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Related Studies

Ontology: Torsion of fallopian tube (C0269169)

Concepts Acquired Abnormality (T020)
ICD10 N83.52
SnomedCT 46946009
English torsion of fallopian tube, torsion of fallopian tube (diagnosis), Fallopian tube torsion, Torsion of fallopian tube, Torsion of fallopian tube (disorder), fallopian tube; torsion, oviduct; torsion, torsion; fallopian tube, torsion; oviduct
Spanish torsión de la trompa de Falopio (trastorno), torsión de la trompa de Falopio, torsión de trompa de Falopio, torsión de trompa de Falopio (trastorno), Torsión de la trompas de Falopio
Czech Torze vejcovodu
Dutch eileider torsie, eileider; torsie, torsie; eileider, torsie; tuba Fallopii, tuba Fallopii; torsie
French Torsion de trompe de Fallope
German Eileitertorsion
Hungarian Fallop-vezeték torsioja
Italian Torsione delle tube di Falloppio
Japanese ランカンネンテン, 卵管捻転
Portuguese Torção da trompa de Falópio