Laparoscopic treatment of isolated tubal torsion in a premenarchal girl.

Tubal torsion in a premenarchal girl was diagnosed by pelvic ultrasonography and laparoscopy. A laparoscopic approach was used to resect the twisted tube. To our knowledge, this is the first reported case of laparoscopically managed torsion of a fallopian tube occurring in the absence of torsion of the ovary in a patient of this age group. Video-assisted minimally invasive surgery appears to be suitable for treatment of tubal torsion in children; hospitalization is short, cosmetic results are excellent, and return to normal activity is rapid. (J Am Assoc Gynecol Laparosc 6(2):209-211, 1999)