{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T18:46:25Z","timestamp":1783017985037,"version":"3.54.6"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Isolated torsion of a hydrosalpinx is an exceptionally rare gynaecological emergency that often presents with vague and non-specific symptoms, leading to delays in diagnosis. Hydrosalpinx is a known predisposing factor for tubal torsion, yet isolated involvement without ovarian pathology is uncommon. We report the case of a 22-year-old woman presenting with acute right lower abdominal pain and vomiting, in whom ultrasonography demonstrated a cystic adnexal lesion distinct from the ovary. Laparoscopic evaluation confirmed isolated torsion of the right hydrosalpinx with necrosis, necessitating salpingectomy. Early laparoscopic intervention enabled prompt recovery and preservation of ovarian function. This case highlights the importance of maintaining a high index of suspicion for isolated tubal torsion in reproductive-aged women presenting with acute pelvic pain.<\/jats:p>","DOI":"10.4103\/npmj.npmj_198_25","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T05:00:29Z","timestamp":1782968429000},"page":"543-545","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A Case of Isolated Hydrosalpinx Torsion in a Young Female: Diagnostic and Surgical Challenges"],"prefix":"10.4103","volume":"33","author":[{"given":"Manali","family":"Bhure","sequence":"first","affiliation":[{"name":"Department of Obstetrician Gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shubhada","family":"Jajoo","sequence":"additional","affiliation":[{"name":"Department of Obstetrician Gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suhas","family":"Jajoo","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"R1-20260702","doi-asserted-by":"crossref","first-page":"241","DOI":"10.4103\/GMIT.GMIT_91_19","article-title":"Isolated tubal torsion: A rare cause of acute pelvic\/abdominal pain among adolescent females","volume":"9","author":"Ramadan","year":"2020","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R2-20260702","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/1465-9921-15-40","article-title":"Frequent 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literature","volume":"11","author":"Zijun","year":"2023","journal-title":"SAGE Open Med Case Rep"},{"key":"R9-20260702","first-page":"731","article-title":"Torsion of the fallopian tube and the haematosalpinx in perimenopausal women- a case report","volume":"7","author":"Bharathi","year":"2013","journal-title":"J Clin Diagn Res"},{"key":"R10-20260702","first-page":"479698","article-title":"Isolated fallopian tube torsion","volume":"2013","author":"Kardakis","year":"2013","journal-title":"Case Rep Obstet Gynecol"},{"key":"R11-20260702","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":"R12-20260702","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1007\/s10140-013-1163-3","article-title":"Ovarian and tubal torsion: Imaging findings on US, CT, and 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A case report","volume":"40","author":"Almandeel","year":"2023","journal-title":"Case Rep Womens Health"},{"key":"R14-20260702","doi-asserted-by":"crossref","first-page":"21","DOI":"10.4103\/0974-1216.51905","article-title":"Detorsion and conservative therapy for twisted adnexa: Our experience","volume":"1","author":"Tandulwadkar","year":"2009","journal-title":"J Gynecol Endosc Surg"}],"container-title":["Nigerian Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/npmj.npmj_198_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T17:41:56Z","timestamp":1783014116000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/npmj.npmj_198_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/npmj.npmj_198_25","relation":{},"ISSN":["1117-1936","2468-6875"],"issn-type":[{"value":"1117-1936","type":"print"},{"value":"2468-6875","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2025-05-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}