Successful laparoscopic management of adnexal torsion during pregnancy: a case report

Ramesh, B.; Geeta, Uttur; Kavitha, Chalasani

doi:10.1007/s13224-010-0039-7

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Laparoscopy during pregnancy is associated with a significantly lower prevalence of postoperative complications than laparotomy. [4] However, in this case, since it was an emergency and laparoscopic facilities were not available in our institute, a laparotomy was performed.…”

Section: Discussionmentioning

confidence: 96%

Torsion of Ovarian Cyst During Pregnancy - A Case Report

Vaswani¹,

Laddad²

2016

jemds

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BACKGROUNDOvarian torsion is a rare cause of acute abdominal pain during pregnancy. Torsion usually occurs in ovaries with previously diagnosed cysts and tumours. The risk of ovarian torsion rises by 5 fold during pregnancy. Diagnosis can be difficult. Although diagnostic ultrasound is a frequently used imaging tool in patients with suspected ovarian torsion, it has a poor negative predictive value. A high clinical suspicion and early management correlate with favourable maternal and foetal outcomes. Here, we report successful management of a case of a 31-year-old pregnant lady with 9 weeks of gestation with ovarian torsion. She underwent an emergency laparotomy with left salpingo-oophorectomy without any complications and delivered a healthy baby at term.

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Section: Discussionmentioning

confidence: 96%

Torsion of Ovarian Cyst During Pregnancy - A Case Report

Vaswani¹,

Laddad²

2016

jemds

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“…Its incidence is one in 5000 pregnancies. The incidence is highest during the first trimester of pregnancy, the condition being rare during the second and third trimester [ 1 ]. After ovulation induction, the risk of AT is assumed to be increased.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic management of adnexal torsion in a twin, in vitro fertilization pregnancy at 23 weeks.

Aydin¹,

Yücel²

2014

Videosurgery and Other Miniinvasive Techniques

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Maternal adnexal torsion in pregnancy, with a reported incidence of 1–10 per 10,000 spontaneous pregnancies, is very uncommon. Since it has been described as a severe complication after controlled ovarian hyper-stimulation for in vitro fertilization (IVF), it is more common in IVF pregnancies. This condition mainly occurs in the first trimester; it is rare during the late second trimester. Conservative management of adnexal torsion by laparoscopy is extended for the management of such conditions during pregnancy. An enlarged uterus could cause operational difficulties in the second trimester. In this paper, we report a case of adnexal torsion in a twin, 23 weeks with IVF pregnancy, that was successfully untwisted by laparoscopy.

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