Isolated Fallopian Tube Torsion: A Rare Cause of Acute Abdomen in Puerperium
Bibliographic record
Abstract
Fallopian tube torsion is a type of adnexal torsion and usually occurs in association with an ovarian torsion (termed as tubo-ovarian torsion). Isolated fallopian tube torsion (IFTT) is an extremely rare cause of abdominal pain requiring prompt recognition and treatment. Diagnosis of IFTT during puerperium can be challenging due to the nonspecific nature of clinical features and uncommon objective findings. The management of IFTT is often delayed because of the diagnostic dilemmas. Diagnostic imaging may be suggestive but the diagnosis is often made in retrospect following the surgical intervention. Early recognition and quick intervention are crucial to preserve adnexal function and to minimize morbidity. We describe a case of IFTT in a grand multiparous woman presenting with acute onset right iliac fossa pain and vomiting on the first day postpartum and discuss the difficulties faced in the management of this case along with a review of the literature. J Clin Gynecol Obstet. 2021;10(1):28-32 doi: https://doi.org/10.14740/jcgo706
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".