{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T20:30:11Z","timestamp":1774038611826,"version":"3.50.1"},"reference-count":18,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,8,5]]},"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:p>This report describes a rare case of isolated fallopian tube torsion (IFTT) in a premenarchal 11-year-old girl. The patient presented with subacute abdominal pain, associated with nausea and vomiting. Sonographic findings revealed left tube enlargement with free intraperitoneal fluid. Doppler mapping was not unequivocal. During exploratory laparoscopy, a large pelvic necrotic mass was found to be a twisted left fallopian tube. After detorsion, salpingectomy was performed and the patient recovered promptly, showing no complications 3\u2009months post operation. IFTT should be considered as a differential diagnosis of lower abdominal pain in adolescent girls with normal-appearing ovaries on ultrasound. Conservative management for fertility preservation is the ideal approach. Therefore, avoiding delay in laparoscopy is crucial.<\/jats:p>","DOI":"10.1136\/bcr-2021-243947","type":"journal-article","created":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T13:10:14Z","timestamp":1629897014000},"page":"e243947","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Isolated torsion of a fallopian tube: an uncommon cause of abdominal pain in an 11-year-old"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3560-650X","authenticated-orcid":false,"given":"Vict\u00f3ria Leones","family":"de Matos","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Centro Hospitalar e Universit\u00e1rio de Coimbra EPE, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1033-4736","authenticated-orcid":false,"given":"In\u00eas","family":"Pessanha","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Centro Hospitalar e Universit\u00e1rio de Coimbra EPE, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela Agostinho","family":"David","sequence":"additional","affiliation":[{"name":"Department of gynecology and obstetrics, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In\u00eas","family":"Gante","sequence":"additional","affiliation":[{"name":"Department of gynecology and obstetrics, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,8,25]]},"reference":[{"key":"2025082712010753000_14.8.e243947.1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2005.01.009"},{"key":"2025082712010753000_14.8.e243947.2","first-page":"274","article-title":"Fallopian tube torsion: laparoscopic evaluation and treatment of a rare gynecological entity","volume":"14","author":"Krissi","year":"2001","journal-title":"J Am Board Fam Pract"},{"key":"2025082712010753000_14.8.e243947.3","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1007\/s00247-007-0683-y","article-title":"Isolated fallopian tube torsion: sonographic and CT features","volume":"38","author":"Harmon","year":"2008","journal-title":"Pediatr Radiol"},{"key":"2025082712010753000_14.8.e243947.4","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.1007\/s00247-008-1034-3","article-title":"Noninflammatory fallopian tube pathology in children","volume":"38","author":"Merlini","year":"2008","journal-title":"Pediatr Radiol"},{"key":"2025082712010753000_14.8.e243947.5","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.ejogrb.2015.09.042","article-title":"Best practice in management of paediatric and adolescent hydrosalpinges: a systematic review","volume":"195","author":"Kazmi","year":"2015","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2025082712010753000_14.8.e243947.6","doi-asserted-by":"crossref","first-page":"1425","DOI":"10.1016\/j.jpedsurg.2011.01.033","article-title":"Thirteen cases of isolated tubal torsions associated with hydrosalpinx in children and adolescents, proposal for conservative management: retrospective review and literature survey","volume":"46","author":"Boukaidi","year":"2011","journal-title":"J Pediatr Surg"},{"key":"2025082712010753000_14.8.e243947.7","doi-asserted-by":"crossref","first-page":"2387","DOI":"10.1002\/jum.14595","article-title":"Isolated fallopian tube torsion: a unique ultrasound identity or a serial Copycat?","volume":"37","author":"Raban","year":"2018","journal-title":"J Ultrasound Med"},{"key":"2025082712010753000_14.8.e243947.8","first-page":"451","article-title":"Laparoscopic detorsion of isolated idiopathic fallopian tube torsion: conservative treatment in a 13-year-old girl","volume":"55","author":"Ard\u0131\u00e7l\u0131","year":"2013","journal-title":"Turk J Pediatr"},{"key":"2025082712010753000_14.8.e243947.9","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1016\/j.jpedsurg.2019.04.032","article-title":"Isolated fallopian tube torsion in pediatric age: an Italian multicenter retrospective study","volume":"55","author":"Bertozzi","year":"2020","journal-title":"J Pediatr Surg"},{"key":"2025082712010753000_14.8.e243947.10","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1089\/lap.2011.0530","article-title":"Laparoscopic treatment of isolated salpingeal torsion in children: case series and a 20-year review of the literature","volume":"22","author":"Gaied","year":"2012","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"2025082712010753000_14.8.e243947.11","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1111\/j.1479-828X.2011.01288.x","article-title":"Clinical manifestations in women with isolated fallopian tubal torsion; 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