International Journal of
Reproductive Biomedicine
Thu, Jan 29, 2026
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Volume 23, Issue 11 (November 2025)
IJRM 2025, 23(11): 953-960 |
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Hasani S, Gholizadeh R, Rajabi Khamesi S, Ebrahim Kalantari M, Salimi M. Fimbria torsion as a rare cause of lower abdominal pain: A case report and literature review. IJRM 2025; 23 (11) :953-960
URL: http://ijrm.ir/article-1-3706-en.html
URL: http://ijrm.ir/article-1-3706-en.html
Solmaz Hasani1 
, Roya Gholizadeh2 , Sima Rajabi Khamesi2 , Mohammad Ebrahim Kalantari3 , Mostafa Salimi *4
, Roya Gholizadeh2 , Sima Rajabi Khamesi2 , Mohammad Ebrahim Kalantari3 , Mostafa Salimi *4
1- Endocrine Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2- Student Research Committee, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran.
3- Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
4- Student Research Committee, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran. ,salimi.mostafa@iaumshms.ac.ir
2- Student Research Committee, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran.
3- Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
4- Student Research Committee, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran. ,
Abstract: (50 Views)
Background: Isolated fimbrial torsion is a rare gynecological emergency that can lead to severe complications if not promptly diagnosed. Its clinical presentation often mimics more common causes of abdominal pain, creating a significant diagnostic challenge.
Case Presentation: This case report describes a 47-yr-old woman presenting with right lower quadrant abdominal pain. The initial clinical and ultrasound findings were suggestive of acute appendicitis. However, diagnostic laparoscopy revealed isolated gangrenous torsion of the right fallopian tube fimbria.
Conclusion: This case underscores the importance of including fimbrial torsion in the differential diagnosis of right lower quadrant pain in women, even when clinical signs suggest a more common etiology. A comprehensive intraoperative evaluation is crucial when initial findings do not fully explain the clinical presentation, ensuring timely intervention and prevention of long-term complications.
Case Presentation: This case report describes a 47-yr-old woman presenting with right lower quadrant abdominal pain. The initial clinical and ultrasound findings were suggestive of acute appendicitis. However, diagnostic laparoscopy revealed isolated gangrenous torsion of the right fallopian tube fimbria.
Conclusion: This case underscores the importance of including fimbrial torsion in the differential diagnosis of right lower quadrant pain in women, even when clinical signs suggest a more common etiology. A comprehensive intraoperative evaluation is crucial when initial findings do not fully explain the clinical presentation, ensuring timely intervention and prevention of long-term complications.
Type of Study: Case Report |
Subject:
Reproductive Surgery
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