Introduction
Hydrosalpinx is defined as a fallopian tube filled with fluid because of
a complete distal occlusion and abnormal distension of the ampullary
portion[1]. Isolated tubal torsion (ITT) is the rotation of the tube
around its longitudinal axis, while the ovary and its blood flow remain
unaffected [2]. Torsion of the right tube is more common than
torsion of the left, as the left pelvic area is mainly characterized by
the fixation of tube in the pelvic wall because of the sigmoid colon.
ITT is a rare cause of acute abdominal pain in women and is even less
frequent in the patients younger than 18 years[ 3,4].
Despite the fact that exact pathophysiology has not been yet outlined,
there have been several factors hypothesized to contribute in this
condition’s appearance. Pelvic inflammatory disease, hydrosalpinx,
endometriosis, paratubal, para-ovarian masses, hydatid cyst of Morgani,
autonomic dysfunction of the fallopian tube, previous abdominal
operations, history of peritonitis are some of the main causes of a
tubal torsion [5-18]. However, relative conditions are mainly
described in adults, while it is rather uncommon to diagnose ITT with
hydrosaplinx in younger sexually non-active women.
We present the interesting case report of a tubal torsion accompanied
with hydrosaplinx, diagnosed in a 17-year old patient that was sexually
inactive adolescent with no previous abdominal surgeries.