Introduction. Serous adenofibroma of the fallopian tube is a rare benign tumour, with less than 20 cases reported in the literature.
Case presentation. We present a rare case of serous adenofibroma of the fallopian tube complicated by isolated fallopian tube torsion in late adolescence, who presented to our department with sudden onset acute low abdominal pain. A clinical diagnosis of right adnexal torsion was made and the patient underwent laparotomy with Pfannenstiel incision. Intraoperatively, the right fallopian tube contained a necrotic tumour mass and an isolated torsion of the right fallopian tube was found, that necessitated right salpingectomy. The histolopathological examination revealed a benign serous adenofibroma.
Conclusions. Despite their benign nature, adenofibromas of the fallopian tube represent a diagnostic challenge especially when complicated by rare gynecological emergency as in our case – an isolated fallopian tube torsion. The treatment of these tumours is confined to performing unilateral salpingectomy. A detailed review of the existing literature shows that our case is the first reported case of serous adenofibroma of the fallopian tube complicated by isolated fallopian tube torsion, which is another rare condition causing gynecological emergency.
Keywords: adenofibroma, fallopian tube, torsion, salpingectomy.
Full text sources https://doi.org/10.31688/ABMU.2024.59.3.05
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Zlatka DIMITROVA
Department of Obstetrics and Gynaecology, Medical University Varna, Bulgaria
Address: 55 Marin Drinov str., Varna, P.C. 9002, Bulgaria
E-mail: goldy_tyna@abv.bg; Phone: +35988776213
