AI Article Synopsis
- - Ovarian torsion during pregnancy is rare and most commonly occurs in the first trimester; this case discusses one at 33 weeks in a twin pregnancy that was ultimately managed successfully.
- - The patient experienced irregular uterine contractions and acute pain, leading to an ultrasound that revealed a cyst and suspected torsion in the right ovary.
- - A laparotomy, guided by ultrasound, was performed for diagnosis and management, resulting in a successful normal delivery at 37 weeks, demonstrating the importance of clinical assessment in ovarian torsion cases.
Article Abstract
Background: Ovarian torsion during pregnancy is a rare event and occurs mostly during the first trimester. This is the first case describing the diagnosis and management of an ovarian torsion at 33 weeks in a twin pregnancy with a normal term delivery.
Case Summary: The patient presented with irregular uterine contraction due to an acute abdominal pain in the right iliac fossa. A cyst was discovered during the ultrasound scan on the right ovary and a torsion was highly suspected. A small laparotomy facing the ovarian mass after an ultrasound guidance was chosen. The patient finally delivered at 37 weeks.
Conclusion: The clinic holds a preponderant place in the diagnosis of ovarian torsion. Our surgical approach by laparotomy under ultrasound guidance was less risky than by laparoscopy.
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| http://dx.doi.org/10.1016/j.jogoh.2021.102117 | DOI Listing |
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