Laparoscopic Treatment of Tubal Torsion in Pregnancy

Background: Isolated tubal torsion in pregnant women is a rare diagnosis often treated with laparotomy. Case: A 37-year-old woman at 25 weeks of gestation presented with severe lower abdominal pain and vomiting. Ultrasound revealed a 6-cm ovarian cyst. She was taken to the operating room for a diagnostic laparoscopy. Results: She was found to have an isolated tubal torsion. The tube was detorted and treated with a salpingectomy. Her postoperative course, the remainder of her pregnancy, and her delivery were uncomplicated. No adverse pregnancy outcomes were associated with the laparoscopic management of her isolated tubal torsion in pregnancy. Conclusions: Laparoscopic management of adnexal pathology in pregnancy should be considered in view of the benefits of laparoscopy, including decreased postoperative pain, shorter hospital stay, quicker recovery, and improved cosmesis.