Authors : Khaoula Laaboub; Nada Douraidi; Asmae Bentaleb; Hajar Kandoussi; Salma Tahri; Nehad Mohammed Ali; Fatima EL Hassouni; Samir Bargach

Volume/Issue : Volume 10 - 2025, Issue 7 - July

Google Scholar : https://tinyurl.com/2cx7n6ty

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DOI : https://doi.org/10.38124/ijisrt/25jul1395

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Abstract :  Introduction Isolated torsion of the fallopian tube is a rare but significant cause of acute pelvic pain in women of reproductive age. We present a rare case of tubal torsion caused by a mature para-tubal cystic teratoma arising from the right fallopian tube.  Case Presentation A 27-year-old woman presented to the gynecological emergency department with acute right iliac fossa pain of five days’ duration, associated with vomiting. Imaging revealed an adnexal mass suggestive of a teratoma and a twisted fallopian tube. Surgical exploration confirmed an isolated right tubal torsion with a mature cystic teratoma arising from the infundibulum. Due to tubal necrosis, a retrograde right salpingectomy with cystectomy was performed. Histopathology confirmed a mature cystic teratoma.  Conclusion Although dermoid cysts typically arise from the ovary, rare para-tubal or tubal localizations can cause isolated tubal torsion. Early diagnosis and surgical intervention are essential to prevent complications and preserve fertility when possible.

Keywords : Isolated Fallopian Tube Torsion; Mature Cystic Teratoma; Para-Tubal Dermoid; Adnexal Torsion.

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