Torsion of Ovarian Cyst During Pregnancy - A Case Report

Abstract

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.

Successful pregnancy-preserving laparoscopic adnexectomy for complicated ovarian torsion during late pregnancy: A case report and review of the literature

“…Although the exact origin of adnexal torsion is unknown, it has been observed that a long tube and a long utero-ovarian ligament are predisposing variables. These features promote adnexal movement [4] , [9] . Potential risk factors include the use of assisted reproductive technologies, ovarian cysts and masses, ovulation inducement, and prior adnexal torsion [10] .…”