• Kameelah Phillips, M Elizabeth Fino, Lisa Kump, and Alan Berkeley.
• NYU Fertility Center, Department of Obstetrics and Gynecology, New York University School of Medicine, 660 First Avenue, New York, NY 10016, USA.
• Fertil. Steril. 2009 Jul 1; 92 (1): 394.e1-3.

ObjectiveTo describe a case of chronic isolated fallopian tubal torsion in a woman without identifiable risk factors and discuss the difficulty of diagnosis.DesignCase report.SettingUniversity-based reproductive endocrinology and infertility center.Patient(S)Multiparous woman with no risk factors of torsion of the fallopian tube presenting with chronic right lower quadrant pain.InterventionLaparoscopy with subsequent salpingectomy.Main Outcome Measure(S)Resolution of symptoms. Preservation of ovary and future fertility.Result(S)Patient's symptoms resolved after salpingectomy. Information regarding future fertility is pending.Conclusion(S)Isolated fallopian tube torsion is rare and often difficult to diagnose. Despite ultrasonographic evidence of arterial and/or venous flow to the adnexa, adnexal torsion cannot be ruled out. If clinical suspicion for torsion is high, early diagnosis and treatment via laparoscopy is encouraged as a means of preserving fallopian tube integrity and maintaining fertility, especially in reproductive-age women.

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