Acute abdomen in pregnancy due to isolated Fallopian tube torsion: The laparoscopic treatment of a rare case

Abstract

In the last years, operative laparoscopy became a standard approach in gynaecology and general surgery. Even in pregnancy its use is becoming more widely accepted. In fact, it offers advantages similar to those in no pregnant women, associated with good maternal and fetal outcomes. Around 0.2% of pregnant women require abdominal surgery. The most common indications of laparoscopy in pregnancy are cholelithiasis complications, appendicitis, persistent ovarian cyst and adnexal torsion. Authors describe a very rare case of acute abdomen due to isolated Fallopian tube torsion in a 24^th weeks pregnant woman, managed by laparoscopic salpingectomy.

Keywords: Fallopian tube torsion; Acute abdomen; Pregnancy; Laparoscopy

Core tip: Authors describe a very rare case of acute abdomen due to isolated Fallopian tube torsion in a 24^th weeks pregnant woman, managed by laparoscopic salpingectomy. In all literature the most recent estimation for its incidence dates from 1970, when Hansen estimated 1 per 1.5 million women to have isolated Fallopian tube torsion in Denmark. And since 1933 only 25 cases of Fallopian tube torsion in pregnant women were described.