Laparoscopic Treatment of Fallopian Tube Torsion on Hydrosalpinx in Children: Case Report

Abstract

Tubal torsion, the complete twisting of the fallopian tube, is a rare cause of abdominal pain in pediatric patients, often associated with congenital anomalies like hydrosalpinx. Initial diagnostic tests include blood analysis and ultrasound, though definitive diagnosis requires surgical exploration, typically via exploratory laparoscopy. Conservative surgery aimed at detorsion is preferred to preserve fertility, with long-term follow-up necessary. Pathological studies suggest that microscopic integrity of the tube can be maintained even if it appears necrotic macroscopically, and a watchful waiting approach may be suitable for asymptomatic, uncomplicated hydrosalpinx. We report the case of a 13 years old patient with isolated torsion of the fallopian tube on hydrosalpinx.