Isolated tubal torsion following bilateral tubal ligation: A case report and literature review

A 44-year-old woman with a history of bilateral tubal ligation presented with severe abdominal pain and nausea, and despite unremarkable imaging was subsequently found to have a torsed, necrotic fallopian tube without associated ovarian pathology. Isolated torsion of the fallopian tube without ovarian involvement is rare. A systematic literature review found 8 case reports of isolated tubal torsion in patients with a history of tubal ligation. This paper describes one presentation of this rare pathology and identifies findings common among the 8 case reports identified in the literature. [Display omitted] •Isolated tubal torsion is a rare cause of abdominal pain in patients with a history of tubal ligation.•This diagnosis should be considered when a female patient reports abdominal pain and has a negative workup.•Other symptoms include adnexal mass, cervical motion tenderness, nausea/vomiting, leukocytosis, fever, and peritonitis.•Ultrasound findings associated with ovarian torsion may not be present in isolated tubal torsion.•Laparoscopic intervention is necessary to definitively diagnose and treat this rare pathology.