Background: Isolated torsion of the fallopian tube is a rare cause of lower abdominal pain in adolescence. Lack of specific clinical signs, images, and laboratory data make preoperative diagnoses difficult. This article presents a case of isolated torsion of the fallopian tube in an adolescent girl. Case: A 15-year-old girl presented with right lower abdominal pain for 6 days, and ultrasonography and magnetic resonance imaging (MRI) revealed a cystic mass on the left side of her uterus. Urgent laparoscopy was carried out according to the diagnosis of torsion of the left ovarian cyst. The procedure revealed torsion of the right fallopian tube with necrosis and swelling, so a laparoscopic salpingectomy was performed. Results: She was discharged, uneventfully, on the third day after surgery. Conclusions: During the reproductive period of life, prompt diagnosis and treatment are needed to preserve fertility for women. On MRI, the coiling-up sign described by Park et al. might be useful for diagnosis, while laparoscopy is also helpful for diagnosis and treatment. (J GYNECOL SURG 29:39)
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