A Very Rare Case of Subacute Isolated Tubal Torsion in a Postmenopausal Woman

Abstract

Isolated tubal torsion is a very rare entity with a reported incidence of 1:1.500.000. In postmenopausal period it is even more rare. In this case report we present a postmenopausal patient with subacute pelvic pain and adnexal mass whose definitive diagnosis at laparotomy was isolated tubal torsion. Until now, to our knowledge, only 3 cases of postmenopausal isolated tubal torsion has been described in the literature. One-month duration of symptoms indicating the subacute nature of torsion was also unique in this case. Intraoperatively, the right tube was twisted 7-8 times just beside a paratubal cyst which is in the form of a 10x8x8 cm hemorrhagic necrotic cystic mass. Total abdominal hysterectomy, bilateral salpingoophorectomy and appendectomy procedure was undertaken.