Objective: To report two cases of isolated fallopian tubal torsion that emphasize the rarity and difficult of diagnosis.
Design: Case report.
Setting: A district general hospital.
Patient(s): We report two cases of hematosalpinx due to torsion of the fallopian tube. The symptoms were not specific; both patients had acute lower abdominal pain. The first diagnosis in both cases was a torsion of a pelvic complex mass like a tumor.
Intervention(s): Laparoscopy is necessary, but often surgery is performed too late to preserve the tube.
Main outcome measure(s): Resolution of symptoms with preservation of fertility.
Result(s): Both patients had the tube removed.
Conclusion(s): Early diagnosis and surgical intervention is mandatory when isolated fallopian tube torsion is suspected, particularly in a nulliparous young woman.