{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:20:22Z","timestamp":1777519222758,"version":"3.51.4"},"reference-count":12,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,6,19]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>Paratubal cysts are fluid-filled sacs that grow adjacent to the fallopian tube which can rarely result in torsion. Isolated fallopian tube torsion (IFTT) is a gynaecological emergency that warrants urgent laparoscopic detorsion to salvage the affected tube. IFTT has a proclivity to affect adolescents between the ages of 12 and 15\u2009years and is rarely seen in premenarchal or perimenopausal women. Due to a lack of pathognomonical features, IFTT is difficult to diagnose. Adnexal torsion, including IFTT is a surgical diagnosis and no clinical or imaging criteria is sufficient to diagnose IFTT. Urgent laparoscopy and detorsion are required for preservation of the affected fallopian tube. However, given the diagnostic ambiguity, IFTT diagnosis is often delayed. IFTT should be included in the differential diagnoses for adolescent patients with acute abdomen when imaging demonstrates a normal appendix and ovaries. We report a 15-year-old girl with a 4-day history of abdominopelvic pain and bilateral paratubal cysts resulting in right IFTT.<\/jats:p>","DOI":"10.1136\/bcr-2021-242682","type":"journal-article","created":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T12:51:13Z","timestamp":1626180673000},"page":"e242682","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Diagnostic dilemma of isolated fallopian tube torsion"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2437-3541","authenticated-orcid":false,"given":"Michael Gerard","family":"Baracy Jr","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ascension St John Hospital, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janie","family":"Hu","sequence":"additional","affiliation":[{"name":"School of Medicine, St Georges University, True Blue, Grenada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holly","family":"Ouillette","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ascension St John Hospital, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Faisal","family":"Aslam","sequence":"additional","affiliation":[{"name":"Department of Female Pelvic Medicine and Reconstructive Surgery, Ascension St John Hospital, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,7,13]]},"reference":[{"key":"2025082712024648000_14.7.e242682.1","first-page":"432","article-title":"Torsion of paraovarian cyst resulting in secondary torsion of ovary and fallopian tube","volume":"8","author":"Atal","year":"2016","journal-title":"Int J Gynecol Obstet"},{"key":"2025082712024648000_14.7.e242682.2","first-page":"691","article-title":"Paratubal cysts: frequency, 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