We present a patient in the 30th week of gestation with adnexal torsion, which was treated by laparotomy with oophorectomy. After 2 days, we had to perform a cesarean section because of bowel obstruction. We discuss the diagnosis and treatment of adnexal torsion in pregnancy and compare laparoscopic management with laparotomy. By reviewing the literature, we evaluate the conservative therapy by detorsion employing Doppler sonography.

ZusammenfassungEs wird über die Schwangerschaft einer 34jährigen IV Gravida/II Para berichtet, die in der 19. Woche mit der Ruptur eines rudimentären Horns bei Uterus bicornis unicollis endete. Es lag eine Placenta accreta vor. Zwei Jahre nach diesem Ereignis kam es zur Spontangeburt eines Knaben ohne Plazentainsertionsstörung. Anhand der Literatur wird auf die Möglichkeiten des Ultraschalls sowie der Serum-AFP-Bestimmung hingewiesen. AbstractA rare case of a pregnancy of a 34-year old IV gravida/II para is reported, which ended in the 19 th week with the rupture of a rudimentary horn of the uterus bicornis unicollis. Histopathological examination showed a placenta accreta. Two years after this event spontaneous birth of a boy resulted without any pathological findings of the placenta. Basing on the literature, the significant roles played by ultrasonic investigation as well as by serum-AFP-screening are pointed out.