Isolated tubal torsion in pediatric ages by single surgeon’s experience

Objectives: This study aims to investigate rare situation of isolated fallopian tubal torsion (IFTT) in pediatric patient population and to draw attention to these patients whose inner reproductive organs can be salvaged by minimally invasive surgery. Patients and methods: Between January 2016 and December 2024, a total of 13 female patients (mean age: 14.1±1.5 years; range, 11 to 16 years) with IFTT were retrospectively analyzed. All patients were laparoscopically diagnosed and treated by a single surgeon. Data including demographic and clinical characteristics, imaging findings, six-month follow-up data, and postoperative outcomes were recorded. Results: All patients except for one were postmenarchal and they were all sexually inactive. All patients had symptoms of severe abdominal pain and nausea. The mean time from onset of symptoms to admission was 9.6±21.6 (range, 6 to 72) h. Rebound and severe tenderness were found in all of their physical examinations. All except for one were treated with laparoscopic tubal detorsion and excision of the paratubal cysts. The remaining patient who was admitted on Day 3 following the onset of symptoms underwent laparoscopic salpingectomy, preserving the ovary. Conclusion: Although rare, being vigilant and observant against IFTT even in premenarchal girls would help many surgeons diagnose and perform a prompt exploration avoiding organ loss, thereby preserving fertility.