A teenager was left vomiting in agony after her right fallopian tube spontaneously twisted four times.
The 18-year-old unnamed patient, believed to be from Amsterdam, endured abdominal pain, nausea and vomiting for three days before she took herself to hospital.
Unsure what was wrong, doctors were forced to examine the teenager vaginally, which they were reluctant to do given that she was a virgin.
The medics discovered that as well as her fallopian tube twisting multiple times, the teenager’s oviduct was blocked with fluid, while she also had a 31x44mm cyst on her right ovary.
After making an abdominal incision to take a closer look, they found her twisted fallopian tube was red and inflamed, with part of it showing signs of rotting.
Working quickly to drain and untwist the tube, the teenager then made an almost immediate recovery and was discharged from hospital the same day.
It is unclear what caused her fallopian tube to twist, however, the condition has been linked to ovarian cysts, infections and endometriosis.
Teenager was left vomiting in agony after her right fallopian tube twisted four times (stock)
Fallopian tube twisted four times
The teenager took herself to Onze Lieve Vrouwe Gasthuis hospital, Amsterdam, after the symptoms she had been battling for three days worsened over two hours, according to BMJ Case Reports.
She described the discomfort as ‘continuous with intermittent bouts of increased pain every 15 min.’
The teen had normal menstruation cycles, with her last period ending nine days before. She was not experiencing any vaginal bleeding or unusual discharge.
Although her symptoms initially eased after being given painkillers, they later returned. Doctors were forced to make an abdominal incision to examine the affected area 11 hours after she first arrived at hospital.
The medics then surgically drained and untwisted the teen’s fallopian tube.
A follow-up scan 38 days later revealed her ovaries appeared to be normal, with no further treatment being required.
It is unclear what caused her fallopian tube to twist, however, the condition has been linked to ovarian cysts, which she had, as well as infections and endometriosis (stock)
Why do ovaries and Fallopian tubes twist?
Twisting of the ovaries, and sometimes the fallopian tubes, usually occurs in reproductive women who have a problem with one of their ovaries.
It is more common during pregnancy, as well as if a woman is taking hormones to boost ovulation or has an ovarian cyst.
Such twisting cuts off the blood supply to the ovaries, which can cause sudden, severe pain and vomiting.
If the blood supply is cut off for long enough, the tissue in the ovary can die or spaces in the abdomen can become infected. Surgery is therefore required immediately to untwist the affected organs.