creators_name: Shakuntala, PN creators_name: Rao, SR creators_name: Poornima, M creators_name: Padmalatha, VV creators_id: shakuntala_pn@yahoo.com editors_name: Kakkilaya, Srinivas editors_id: Kakkilaya BS type: journale datestamp: 2013-05-04 23:06:26 lastmod: 2013-05-04 23:06:26 metadata_visibility: show title: A Rare Case of Isolated torsion of Haematosalphinx Presenting as Acute Abdomen During Pregnancy ispublished: pub subjects: OJHAS full_text_status: public keywords: Fallopian tube torsion; Acute abdomen; Pregnancy; Salpingectomy abstract: Isolated fallopian tubal torsion is a rare non obstetric cause for pain abdomen during pregnancy.We report a case of a 34 year old second gravida who presented with history of amennorrhoe of 7 months, colicky pain in the left iliac fossa , with 2 episodes of vomiting. A Trans vaginal scan revealed a left ovarian cyst. An emergency laparotomy was performed for suspected torsion or haemorrhage into an ovarian cyst. Surprisingly ovaries were normal and a congested and necrotic left tubal torsion with a tubal collection (haematosalphinx) was identified and a salpingectomy was then performed. The differential diagnosis is discussed and the literature is reviewed as it is a very rare clinical entity. date: 2012-07-25 date_type: published publication: Online Journal of Health and Allied Sciences volume: 11 number: 2(13) publisher: Kakkilaya BS refereed: TRUE referencetext: 1. Hansen OH. Isolated torsion of the Fallopian tube. Acta Obstet Gynecol Scand 1970;49:3-6 2. Regad J. Etude Anatomo-Pathologique de la torsion des trompets uterines. Gynecol Obstet 1933;27:519-535 3. Isçi H, Güdücü N, Gönenç G, Basgul AY. Isolated tubal torsion in pregnancy-a rare case. Clin Exp Obstet Gynecol. 2011;38(3):272-273. 4. Origoni M ,Cavoretto P, Cont E, Ferrari A. Isolated tubal torsion in pregnancy. European Journal of Obstetrics & Gynecology and Reproductive Biology October 2009;146(2):116–120. 5. Youssef AF, Fayad MM, Shafeek MA. Torsion of the fallopian tube. A clinico-pathological study. Acta Obstet Gynec Scand 1962;41:292–309. 6. Krissi H, Shalev J, Bar-Hava I, Langer R, Herman A, Kaplan B. Fallopian tube torsion: laparoscopic evaluation and treatment of a rare gynecological entity. J Am Board Fam Pract 2001;14:274–277. 7. Maynard SR, Peipert JF, Brody JM. Tubal torsion appearing as acute pelvic inflammatory disease. J Am Assoc Gynecol Laparosc 1996;3:431–433. 8. ten Cate A, Han S, Vliegen AS, Lewi L, Verhaeghe J, Claus F. Conservative surgery for left-sided isolated tubal torsion in pregnancy. JBR-BTR. 2011 Jul-Aug;94(4):212-213. 9. Batukan C, Ozgun MT, Turkyilmaz C, Tayyar M. Isolated torsion of the fallopian tube during pregnancy: a case report. J Reprod Med. 2007 Aug;52(8):745-747. 10. Yalcin OT, Hassa H, Zeytinoglu S, Isiksoy S. Isolated torsion of fallopian tube during pregnancy; report of two cases. Eur J Obstet Gynecol Reprod Biol. 1997 Aug;74(2):179-182. citation: Shakuntala, PN and Rao, SR and Poornima, M and Padmalatha, VV (2012) A Rare Case of Isolated torsion of Haematosalphinx Presenting as Acute Abdomen During Pregnancy. [Journal (On-line/Unpaginated)] document_url: http://cogprints.org/8901/1/2012-2-13.pdf