Torsion of fallopian tube remnant associated with noncommunicating rudimentary horn in adolescent girl with unicornuate uterus

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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-13 ⓘ

This case report details the torsion of a fallopian tube remnant in an adolescent with a unicornuate uterus and a noncommunicating rudimentary horn.

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Abstract

BACKGROUND: The prevalence of müllerian anomalies may be as high as 7% in the general population, yet there is scant published literature on adnexal torsion occurring in these patients. CASE: A 14-year-old female presented with right lower quadrant pain. Pelvic ultrasonography demonstrated a 2-cm simple right adnexal cyst. Diagnostic laparoscopy revealed a unicornuate uterus with a normal left uterine horn and fallopian tube but atretic and cordlike müllerian structures on the right side. Torsion of the right tubal remnant and two paratubal cysts were noted and the structures were then excised. SUMMARY AND CONCLUSION: Agenesis, hypoplasia, or maldevelopment of müllerian structures may predispose patients to an increased risk of adnexal torsion secondary to looser ligamentous attachments and consequent lack of fixation to the pelvic sidewall.

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MeSH descriptors

Fallopian Tubes Mullerian Ducts Torsion Abnormality Urogenital Abnormalities Uterus Abdominal Pain Abdominal Pain Adolescent Fallopian Tubes Female Humans Laparoscopy Mullerian Ducts Torsion Abnormality Torsion Abnormality Torsion Abnormality Urogenital Abnormalities Urogenital Abnormalities Urogenital Abnormalities Uterus

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openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-10-08T21:12:56.342978+00:00
License: CC0 · commercial use OK