{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:36:52Z","timestamp":1792165012357,"version":"4.4.0"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T00:00:00Z","timestamp":1649116800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Isolated torsion of a fallopian tube is a rare event and it is extremely difficult to be diagnosed in pregnancy. The aim of this study is to present a clinical case report that occurred in our department and to summarize the latest evidence about tubal torsion in pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We reported data, ultrasonographic features and an intra-operative image of a case report of tubal torsion in a term pregnancy. Then a review of the literature was performed following the PRISMA statement: we searched all the articles related to tubal torsion in pregnancy in the last 10 years from the international electronic bibliographic database PUBMED. We collected data regarding population characteristics, clinical features, treatment, and feto-maternal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>According to our search strategy, 10 articles were included. The main clinical symptoms were abdominal pelvic pain (100%), nausea, and vomiting (30%). The mean gestational age at the diagnosis was 36 weeks after the last menstrual period in 50% of cases. Ultrasound images showed a cystic lesion in the adnexal area in 70% of cases. In most of the cases, a cesarean section with a contextual salpingectomy was performed. No cases of maternal and fetal death were respectively reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Isolated torsion of the fallopian tube is a rare obstetric condition but it should be considered in case of acute lower abdominal pain presentation during pregnancy. Depending on gestational age, surgical treatment as soon as possible could prevent a salpingectomy.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2022.856915","type":"journal-article","created":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T22:16:12Z","timestamp":1649196972000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["Isolated Tubal Torsion in a Term Pregnancy: Case Report and Systematic Review of Literature of the Last 10 Years"],"prefix":"10.3389","volume":"9","author":[{"given":"Ferdinando Antonio","family":"Gulino","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Ettore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianfranco","family":"Morreale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Siringo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Russo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"D'Asta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Cannone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Ettore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,4,5]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"128","DOI":"10.5001\/omj.2009.27","article-title":"Isolated fallopian tube torsion with pregnancy- a case report","volume":"24","author":"Varghese","year":"2009","journal-title":"Oman Med J."},{"key":"B2","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1016\/S1074-3804(96)80077-6","article-title":"Tubal torsion appearing as acute pelvic inflammatory disease","volume":"3","author":"Maynard","year":"1996","journal-title":"J Am Assoc Gynecol Laparosc."},{"key":"B3","first-page":"75","article-title":"Gynecologic and obstetric disorders presenting with abdominal pain","volume":"61","author":"Kjawakami","year":"2001","journal-title":"Nippon Igaku Hoshasen Gakkai Zasshi."},{"key":"B4","doi-asserted-by":"publisher","first-page":"59","DOI":"10.12701\/yujm.2019.00024","article-title":"Isolated tubal torsion in the third trimester of pregnancy managed with simultaneous salpingectomy and cesarean section","volume":"36","author":"Park","year":"2019","journal-title":"Yeungnam Univ J Med."},{"key":"B5","doi-asserted-by":"crossref","first-page":"362","DOI":"10.12891\/ceog16862014","article-title":"Isolated torsion of fallopian tube complicating pregnancy: case report","volume":"41","author":"Bakacak","year":"2014","journal-title":"Clin Exp Obstet Gynecol."},{"key":"B6","first-page":"287","article-title":"Tubal torsion during pregnancy-case report","volume":"82","author":"Ergenoglu","year":"2011","journal-title":"Ginekol Pol."},{"key":"B7","first-page":"272","article-title":"Isolated tubal torsion in pregnancy-a rare case","volume":"38","author":"I\u015f\u00e7i","year":"2011","journal-title":"Clin Exp Obstet Gynecol."},{"key":"B8","doi-asserted-by":"publisher","first-page":"212","DOI":"10.5334\/jbr-btr.604","article-title":"Conservative surgery for left-sided isolated tubal torsion in pregnancy","volume":"94","author":"ten Cate","year":"2011","journal-title":"JBR-BTR"},{"key":"B9","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1016\/j.ajem.2016.11.012","article-title":"A rare case of right lower quadrant abdominal pain","volume":"35","author":"Macedo","year":"2017","journal-title":"Am J Emerg Med"},{"key":"B10","first-page":"448","article-title":"Hydronephrosis of pregnancy associated with torsion of the fallopian tube: a case report","volume":"15","author":"Simsek","year":"2011","journal-title":"Eur Rev Med Pharmacol Sci."},{"key":"B11","first-page":"1106","article-title":"Isolated tubal torsion in the third trimester of pregnancy: a case report and review of the literature","volume":"19","author":"Sun","year":"2014","journal-title":"J Res Med Sci."},{"key":"B12","doi-asserted-by":"publisher","first-page":"239352","DOI":"10.1155\/2012\/239352","article-title":"Laparoscopic salpingectomy for isolated fallopian tube torsion in the third trimester","volume":"2012","author":"Duncan","year":"2012","journal-title":"Case Rep Obstet Gynecol."},{"key":"B13","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1016\/j.jmig.2011.01.017","article-title":"Laparoscopic management of fallopian tube torsion at 35 weeks of gestation: case report","volume":"18","author":"Chohan","year":"2011","journal-title":"J Minim Invasive Gynecol"},{"key":"B14","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1016\/j.ejogrb.2009.05.002","article-title":"Isolated tubal torsion in pregnancy","volume":"146","author":"Origoni","year":"2009","journal-title":"Eur J Obstet Gynecol Reprod Biol."},{"key":"B15","doi-asserted-by":"publisher","first-page":"1013","DOI":"10.1016\/j.jmig.2019.03.012","article-title":"Emergent laparoscopic removal of a perforating intrauterine device during pregnancy under regional anesthesia","volume":"26","author":"Giampaolino","year":"2019","journal-title":"J Minim Invasive Gynecol"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1159\/000521364.","article-title":"Spinal anesthesia vs general anesthesia in gynecological laparoscopic surgery: a systematic review and meta-analysis","author":"Della Corte","year":"2021","journal-title":"Gynecol Obstet Invest"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.856915\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T22:16:19Z","timestamp":1649196979000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.856915\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,5]]},"references-count":16,"alternative-id":["10.3389\/fsurg.2022.856915"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2022.856915","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,5]]},"article-number":"856915"}}