Abstract
Isolated fallopian tube torsion (IFTT) is clinically rare, particularly in adolescents. Misdiagnosis or a missed diagnosis can lead to serious consequences. Early and thorough awareness of the risk factors and imaging features of IFTT is essential for an accurate diagnosis. The case report involves an 18-year-old girl who presented with the atypical symptom of dull pain in the right lower quadrant. The sonogram indicated that a right-lower-quadrant mass existed, with an uncertain relationship to the appendix. At gynecologic surgery, the diagnosis was confirmed as a hydrosalpinx torsion with seven twists, accompanied by an elongated fallopian tube. This case underscores the importance of recognizing classic sonographic signs and identifying torsion-related precipitating factors and risk factors, in the diagnosis of IFTT.
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