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Title: Laparoscopic Adnexal Detorsion in a 20-Week Pregnant Patient: A Case Report and Literature Review
Authors: Halimeh, Rawad
Tomassian, Serge
El Hage, Maria
Metri, Nicole
Bersaoui, Marianne
Daou, Rafi
Anastasiadis, Elie
Affiliations: Faculty of Medicine 
Issue Date: 2019
Publisher: National Library of Medicine
Part of: Case Reports in Obstetrics and Gynecology
Volume: 2019
Adnexal torsion is a cause of severe pelvic pain in reproductive aged women and during pregnancy. Adnexal torsion occurs when there is a complete turn of the ovary, tube, or both resulting in impaired blood flow to the ovary. The diagnosis of adnexal torsion is sometimes challenging due to the enlarged effect of the uterus, the displacement of abdominal and pelvic structures and the nonspecific symptoms in pregnancy. Therefore, prompt diagnosis is essential for better maternal and neonatal outcomes. The gold standard for confirmation and treatment of ovarian torsion is surgery. Laparoscopy and Laparotomy are surgical options with defined risks and benefits. Therefore, choosing the best surgical technique and surgical procedure are of utmost importance to decrease the chances of adverse events intra and postoperatively. Little literature exists regarding the laparoscopic approach of an ovarian torsion during the second trimester. Our case is a 20-week pregnant patient who had a 1080 degree rotation of the left adnexa. She required laparoscopy for adnexal detorsion and had good intraoperative, postoperative, maternal, and neonatal outcomes following management.
ISSN: 2090-6684
DOI: 10.1155/2019/1093626
Open URL: Link to full text
Type: Journal Article
Appears in Collections:Faculty of Medicine

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