case_images: PMC11782817_01
case_images: Transabdominal ultrasonography showing large tubular dilated cystic lesion in right adnexa separate from right ovary suggestive of severe right hydrosalpinx.
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case_images: A large tubular dilated cystic lesion of size 8.0 x 3.7 cm was seen in the right adnexa with no flow on Doppler, separate from the right ovary which had flow on Doppler, features suggestive of severe right hydrosalpinx (Fig. 1).
case_images: Magnetic resonance imaging (MRI) of pelvis. T2 weighted (A) Axial, (B) Coronal and (C) Sagittal images showing tubular, dilated, convoluted fluid filled structure in right adnexa separate from right ovary.
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case_images: Magnetic resonance imaging (MRI) showed a dilated, tubular, convoluted lesion in the right adnexa seen separately from the right ovary with predominant fluid content and no internal septation, features again seeming to be suggestive of isolated large right hydrosalpinx (Fig. 2).
case_images: Laparoscopic view of isolated right fallopian tube torsion.
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case_images: During the intervention, we observed that the right fallopian tube was increased in size, with torsion in which the right fallopian tube was twisted 3 times on its own axis and appeared gangrenous (Fig. 3), meanwhile, the right ovary appeared normal with no signs of ischemia.
case_images: Histopathology of the specimen showing fallopian tube with dilated lumen with flattened plicae. Foci of hemorrhage and hemorrhagic necrosis in the walls.
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case_images: The gross surgical specimen measured 10 x 3.5 x 3 cm and later histopathology confirmed the excised structure was a fallopian tube with hemorrhagic necrosis in the walls, without evidence of malignancy (Fig. 4).