II. Epidemiology
- Rare (1 in 1.5 Million women, only cases reports in children)
III. Pathophysiology
- Tubal torsion without associated Ovarian Torsion
IV. Causes: Intrinsic tubal abnormality
- Mass (e.g. Hydrosalpinx, Paratubal cyst, Neoplasm
- Adhesions (e.g. Endometriosis, Pelvic Inflammatory)
V. Management
- Similar to Ovarian Torsion
- Emergent laparoscopy
- Conservative treatment with tube preservation if revascularizes with detorsion
- Salpingectomy if tube necrotic (esp. >10 hours from onset)
VI. References
- Davis and Bullard-Berent (2021) Crit Dec Emerg Med 35(12): 16-7