Isolated tubal torsion following bilateral tubal ligation: A case report and literature review

Abstract

A 44-year-old woman with a history of bilateral tubal ligation presented with severe abdominal pain and nausea, and despite unremarkable imaging was subsequently found to have a torsed, necrotic fallopian tube without associated ovarian pathology. Isolated torsion of the fallopian tube without ovarian involvement is rare. A systematic literature review found 8 case reports of isolated tubal torsion in patients with a history of tubal ligation. This paper describes one presentation of this rare pathology and identifies findings common among the 8 case reports identified in the literature.

Keywords

• Isolated tubal torsion
• Case report
• Literature review
• Bilateral tubal ligation
• Torsion of the fallopian tubes
• Adnexal torsion