Isolated tubal torsion: A rare cause of pelvic pain at menarche. Sonographic and MR findings

Cinzia Orazi, Alessandro Inserra, M. Chiara Lucchetti, Paolo M S Schingo

Research output: Contribution to journalArticlepeer-review

Abstract

Isolated torsion of the fallopian tube is a rare clinical entity, especially in adolescents and at menarche. The diagnosis is essentially made at laparoscopy or at laparotomy because of nonspecific clinical signs. We present a case of isolated tubal torsion in a 12-year-old girl a few days after menarche, highlighting the sonographic and MR findings. Both techniques demonstrated the enlarged and tortuous fallopian tube with normal ovaries and uterus, but MR was also able to characterize contained blood and absent vascular supply. Although this condition is uncommon it should be considered as a cause of acute pelvic pain in adolescents because of the possibility of salvage surgery with early diagnosis. Sonography and MRI have a complementary role in this diagnosis.

Original languageEnglish
Pages (from-to)1316-1318
Number of pages3
JournalPediatric Radiology
Volume36
Issue number12
DOIs
Publication statusPublished - Dec 2006

Keywords

  • Child
  • Fallopian tube
  • Menarche
  • MRI
  • Torsion
  • Ultrasound

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Pediatrics, Perinatology, and Child Health
  • Radiological and Ultrasound Technology

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