Teenager left vomiting in severe pain after her fallopian tube twisted FOUR times

A TEENAGER was left vomiting in severe pain after her fallopian tubes twisted four time inside her body.

The 18-year-old went to A&E complaining of abdominal pain, nausea and being sick for three days.

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She described her pain as consistent with "intermittent bouts of increased pain every 15 minutes".

The patient had a low heart rate and slightly high temperature.

Upon examination doctors realised she had tenderness and swelling over her right ovary.

An ultrasound revealed what was thought to be a cyst.

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To get a closer look medics opted for a transvaginal ultrasound - which involves inserting a camera into the womb through the vagina.

Imaging confirmed the cyst, which was bleeding and blocking her fallopian tube - a condition known as hydrosalpinx.

The patient was monitored on the gynaecology ward at Onze Lieve Vrouwe Gasthuis hospital in Amsterdam, and kept on painkillers for a couple of days.

But her condition worsened, forcing doctors to perform exploratory surgery to determine the cause of her pain.

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It was then they realised she had an ovarian torsion - meaning her fallopian tubes had twisted.

The cause of ovarian torsion is not known, but it is thought to be linked to vigorous sexual activity.

As the woman told doctors she was a virgin this cause was ruled out.

By this time her tubes had become necrotic - started to rot - and her right ovary was slightly enlarged.

Doctors were able to surgically untwist her fallopian tube and save the whole thing.

In 38 day and 90 day follow ups the patient appeared fine and had not suffered any other symptoms.

"Isolated torsion of the fallopian tube due to hydrosalpinx [blocked tube] is a very rare condition," Dr Tjitske R Zaat, who treated the woman, wrote in the BMJ case report.

"Most of the published case reports and cause series concern women in the reproductive period.

"The diagnosis of an isolated torsion of the fallopian tube is challenging.

"The clinical presentation is usually not specific and resembles other, more common causes of lower abdominal pain, such as appendicitis, rupture of an ovarian cyst or haemorrhagic follicle.

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"Sixty per cent of patients have symptoms of acute onset of abdominal pain in the lower quadrant.

"Signs of peritoneal irritation are present in 30 per cent of the patients.

"Other symptoms such as anorexia, nausea, vomiting, fever or vaginal bleeding are inconsistent."

Fallopian torsion can affect a woman's fertility, in serious cases.

If the tube rots away it may no longer be viable to connect the ovary to the womb, meaning a woman may struggle to conceive.

A woman who has suffered a fallopian tube torsion before is also at greater risk of ectopic pregnancy, a condition where a fertilised egg implants itself in the tube rather than the womb.

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