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Isolated fallopian tube torsion is a rare condition, especially in adolescents, and can often be misdiagnosed due to nonspecific symptoms.
We report the case of a 13-year-old sexually inactive girl who was admitted to Shahid Mobini Hospital in Sabzevar, Iran, with worsening pain in the right lower abdomen and hypogastrium over the past four days. Transabdominal ultrasound revealed normal ovaries and a hemorrhagic solid cystic mass measuring 60 x 35 mm in the left adnexa. However, an urgent laparotomy subsequently revealed isolated torsion of the right fallopian tube.
This case highlights the importance of considering isolated fallopian tube torsion in adolescents presenting with lower abdominal pain. Prompt diagnosis and surgical intervention are crucial for preserving reproductive health.
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