{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T01:39:35Z","timestamp":1769564375676,"version":"3.49.0"},"reference-count":20,"publisher":"Knowledge E DMCC","issue":"11","license":[{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":["knepublishing.com"],"crossmark-restriction":true},"short-container-title":["IJRM"],"abstract":"<jats:p>Background: Isolated fimbrial torsion is a rare gynecological emergency that can lead to severe complications if not promptly diagnosed. Its clinical presentation often mimics more common causes of abdominal pain, creating a significant diagnostic challenge.\r\nCase Presentation: This case report describes a 47-yr-old woman presenting with right lower quadrant abdominal pain. The initial clinical and ultrasound findings were suggestive of acute appendicitis. However, diagnostic laparoscopy revealed isolated gangrenous torsion of the right fallopian tube fimbria.\r\nConclusion: This case underscores the importance of including fimbrial torsion in the differential diagnosis of right lower quadrant pain in women, even when clinical signs suggest a more common etiology. A comprehensive intraoperative evaluation is crucial when initial findings do not fully explain the clinical presentation, ensuring timely intervention and prevention of long-term complications.<\/jats:p>","DOI":"10.18502\/ijrm.v23i11.20550","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T12:21:14Z","timestamp":1769516474000},"update-policy":"https:\/\/doi.org\/10.18502\/knecrossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Fimbria torsion as a rare cause of lower abdominal pain: A case report and literature review"],"prefix":"10.18502","volume":"23","author":[{"given":"Solmaz","family":"Hasani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roya","family":"Gholizadeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sima Rajabi","family":"Khamesi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Ebrahim","family":"Kalantari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mostafa","family":"Salimi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7770","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"319388","doi-asserted-by":"crossref","unstructured":"[1] Atileh LIA, Khalifeh NM. Fallopian tube autoamputation after acute large endometrioma torsion. Gynecol Minim Invasive Ther 2022; 11: 124\u2013126.","DOI":"10.4103\/gmit.gmit_41_21"},{"key":"319389","doi-asserted-by":"crossref","unstructured":"[2] Fukui H, Tsuboyama T, Onishi H, Ota T, Nakamoto A, Honda T, et al. Computed tomography and magnetic resonance imaging features of adnexal and leiomyoma torsion: Correlation with laparoscopic findings. Jpn J Radiol 2025; in press.","DOI":"10.1007\/s11604-025-01881-8"},{"key":"319390","doi-asserted-by":"crossref","unstructured":"[3] Bashir H, Thomas M, Abubakar M, Satti A. Twisted right fallopian tube with a large fimbrial cyst: A diagnostic challenge in acute pelvic pain. Cureus 2025; 17: e94176.","DOI":"10.7759\/cureus.94176"},{"key":"319391","doi-asserted-by":"crossref","unstructured":"[4] Bala M, Catena F, Kashuk J, De Simone B, Gomes CA, Weber D, et al. Acute mesenteric ischemia: Updated guidelines of the World Society of Emergency Surgery. 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Cureus 2023; 15: e46578.","DOI":"10.7759\/cureus.46578"},{"key":"319398","doi-asserted-by":"crossref","unstructured":"[11] Brown-Forestiere R, Furiato A, Foresteire NP, Kashani JS, Waheed A. Acute appendicitis: Clinical clues and conundrums related to the greatest misses. Cureus 2020; 12: e8051.","DOI":"10.7759\/cureus.8051"},{"key":"319399","doi-asserted-by":"crossref","unstructured":"[12] Babier A, Alfaqeh M, Makki J, althobaiti R. Acute isolated fallopian tube torsion in a 37-year-old woman: A case report. J Med Case Reports 2025; 19: 462.","DOI":"10.1186\/s13256-025-05527-1"},{"key":"319400","doi-asserted-by":"crossref","unstructured":"[13] Syed S, Amin A, Ullah M. Fallopian tube torsion secondary to paraovarian fimbrial cyst: A difficult to diagnose and a rare cause of acute abdomen in adolescent. 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Concomitant paratubal cyst and isolated fallopian tube torsion masquerading as acute appendicitis in a pregnant female. Cureus 2023; 15: e46578.","DOI":"10.7759\/cureus.46578"},{"key":"319405","doi-asserted-by":"crossref","unstructured":"[18] Magdoud K, Mkadmi H, Moussa F, Ghali Z, Menjli S, Karoui A. Isolated fallopian tube torsion: A rare cause of acute pelvic pain in adolescence. J Paediatr Child Health 2024; 60: 601\u2013603.","DOI":"10.1111\/jpc.16629"},{"key":"319406","doi-asserted-by":"crossref","unstructured":"[19] Toumi D, Medemagh M, Ghaddab I, Zoukar O, Chaouch MA, Bergaoui H. Torsion of distal right hydrosalpinx in a primiparous woman at term: A case report. Int J Surg Case Rep 2024; 123: 110255.","DOI":"10.1016\/j.ijscr.2024.110255"},{"key":"319407","doi-asserted-by":"crossref","unstructured":"[20] Yazawa R, Yazawa H, Anjyo K, Inazuki A. Four cases of isolated fallopian tube torsion successfully treated with laparoscopic surgery: A case series. 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