Fallopian tube necrosis after postpartum sterilization

Because it usually presents with nonspecific symptoms and occurs rarely, th e diagnosis of Fallopian tube torsion and necrosis is usually done at lapar otomy. A 32 year-old woman returned to the hospital with right lower quadrant pain three days after a postpartum tubal sterilization procedure. Clinical, lab oratory and imaging findings did not assist with the diagnosis. At laparoto my, after dissection of adhesions, a necrotic right fallopian tube was foun d. A salpingectomy was performed and the patient had an uneventful postoper ative course. Fallopian tube torsion should be included in the differential diagnosis of pelvic pain in women. This patient has a good prognosis.