Intact Fallopian Tube Torsion Accompanying Necrotic Paratubal Cyst Torsion: Case Report

A 19-year-old female presented with abdominal pain, nausea and vomiting. Diagnostic procedures with abdominal
computed-tomography and pelvic ultrasonography suggested 110x58mm and 74x64x38 mm left-adnexial cysts, respectively.
Due to inconclusive radiologic diagnosis and suspicious physical abdominal examination, an emergency diagnostic laparotomy
was performed. Exploratory surgery revealed a necrosed and torsioned left paratubal cyst and torsioned but intact fallopian tube were
found. Early surgical intervention with paratubal cyst excision and detorsion of fallopian tube ensured the preservation of fallopian tubes.