Fariba Yarandi1, Farahnaz Sadat Ahmadi2*, Shamin Alaghi2, Azizeh Ghaseminejad1 and Soleiman Abbasi3
1Department of Obstetrics and Gynecology, General Women Hospital, Tehran University of Medical Sciences, Tehran, Iran
2Department of Obstetrics and Gynecology, shohada Hospital, Golestan University of Medical Sciences, Golestan, Iran
3Health Committee of the Islamic Parliament of Iran, Tehran, Iran
Received:01 August, 2015;Accepted: 10 September, 2015;Published: 12 September, 2015
Farahnaz Sadat Ahmadi, Department of Obstetrics and Gynecology, Shohada Hospital, Golestan University of Medical Sciences, Golestan, Iran, Tel: 09111792944; Fax: 0098-17-33586039; E-mail:
Yarandi F, Ahmadi FS, Alaghi S, Ghaseminejad A, Abbasi S (2015) Isolated Fallopian Tube Torsion after Eating Origan and Fennel during Pregnancy. Global J Med Clin Case Reports 2(1): 010-012.DOI: 10.17352/2455-5282.000018
© 2015 Yarandi F. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Fallopian tube torsion; Acute abdomen; Salpingectomy; Third trimester Pregnancy
Background: Isolated fallopian tube torsion is very rare during pregnancy .The reporter's show that the right fallopian tube torsion is most common. Most of the cases have presented in the third trimester. The diagnosis of this torsion is very difficult. There are not pathognomonic symptoms; clinical, imaging, or laboratory findings. The diagnosis is proved during the operation.
Case presentation: A 29 years old G4P3L2D1RIII, 33weeks pregnant woman presented with acute colicky abdominal pain with 4 episodes of vomiting &nausea. The sonogram revealed a 2 cm exophytic mass of left ovary probably is haemorrhagic cyst.
A laparotomy was performed. The ovaries were normal and there was the isolated torsion in left tube with congestion and necrose. Cesarean section and salpingectomy was performed.
Conclusion: Although isolated twisted fallopian tube during pregnancy is very rare, we should Pay attention in the differential diagnosis of acute abdomen in pregnancy for this case. Early surgical intervention will decrease obstetric morbidity and may help us to preserve the fallopian tube.
Isolated fallopian tube torsion is a rare event for abdominal pain during pregnancy . First, it was described in 1890 . The incidence is 1/1, 5 million women  only 12% of these cases are found during this pregnancy . The right fallopian tube is most commonly affected about 90% and the Left fallopian tube is rare. preoperative correct diagnosis is rarely made.The condition is frequently misdiagnosed with torsion of the ovary, acute appendicitis, urolithiasis ,ectopic pregnancy, diverticulitis, degenerated leiomyoma, salpingitis, tubo-ovarian abscess, ruptured ovarian cyst, pelvic inflammatory disease and inflammatory bowel diseases [5,6].
Accurate and immediate diagnosis can lead to early intervention in order to avoid complications and even save the fallopian tube organ .
A 29 years old female G4P3L2D1RIII 33weeks pregnant woman was visited in obstetric clinic in Shohada hospital in Gonbad in Iran at 10 in the morning while complaining of colicky abdominal pain, with maximum intensity in left iliac fossa. The Pain was suddenly begun 2 hours ago. At first it was mild to moderate which progressively became severe. It was associated with nausea, and vomiting, no bowel or urinary symptoms. The patient said that she was eating origan and fennel for a cure for common cold without any consulting with doctors last night. Patient›s past history included hepatitis B and appendectomy, with no vaginal bleeding or other symptom.
On physical examination, there were focal tenderness and rebound tenderness in the left lower quadrant. As other exams were normal. Sonography examination showed a normal uterus and a normal right ovary. A 2 cm exophytic mass of left ovary probably haemorrhagic cyst. Obstetric sonography and fetal evaluation were normal. Total lab tests were normal. The report of surgery consult was expectant management. At the first day in the hospital, she was NPO. Second day she was not vomiting.
Nausea and abdominal tenderness was much reduced. The patient had appetite and had liquids.
The vital signs of patient were normal. With the surgical consultation, the patient was treated for diverticulitis. On the third day of hospitalization, the laparatomy was done in spite of mild contractions. The cesarean was completed. Adnexa on the right was completely normal. Similarly the left ovary was normal. While the left fallopian tube was found at the site of injection Ampula to Fimbriae torsion. According to fourth cesarean of the patient, salpingectomy was performed (Figures 1-4).