Adnexal Torsion and Epiploic Appendigitis in Pregnant Women: Case Report

Abstract

Adnexal torsion is a surgical emergency that cannot be ignored in women. It is a diagnostic and therapeutic challenge. While the occurrence of adnexal torsion in pregnant women is rare, it still can present significant risks. We present the case of a 23-year-old woman, pregnant at 24 weeks of amenorrhea and consulted for an acute abdominal pain. She underwent exploratory laparoscopy, which revealed ovarian torsion caused by a functional cyst along with epiploic appendigitis. During the procedure, we punctured the cyst, detorsed the adnexa and resected the epiploic appendigitis. The postoperative follow-up was favourable. Ultrasound at 2 weeks showed continued pregnancy.