Abstract
Acute abdomen during pregnancy is a condition that requires rapid diagnosis and treatment and threatens both maternal and fetal health. Adnexal masses may present different clinical presentations during pregnancy. The important thing is rapid diagnosis and application of the appropriate treatment method. Adnexal torsion should be kept in mind in the differential diagnosis of patients presenting with acute abdomen during pregnancy. Early diagnosis and treatment are vital for organ-preserving surgery.
In this article, we presented the successful treatment of a patient with laparoscopy surgery who applied to our clinic due to acute abdomen and was diagnosed with left ovarian torsion at 12 weeks' gestation.
Keywords
References
- Chandraharan E, Arulkumaran S. Acute abdomen and abdominal pain in pregnancy. Obstetrics, Gynaecology & Reproductive Medicine 2008;18:205–12.
- Rackow B, Patrizio P. Successful pregnancy complicated by early and late adnexal torsion after in vitro fertilization. Fertility HYPERLINK "http://www.sciencedirect.com/science/journal/00150282" and Sterility 2007;87:e9-12.
- Djavadian D, Braendle W, Jaenicke F.. Laparoscopic oophoropexy for the treatment of recurrent torsion of the adnexa in pregnancy: Case report and review. Fertility and Sterility 2004;82:933-6.
- Condous G, Khalid A, Okaro E, Bourne T.Should we be examining the ovaries in pregnancy? Prevalence and natural history of adnexal pathology detected at first-trimester sonography. Ultrasound Obstet Gynecol 2004;24:62–6.
- Yen C et. al. Risk analysis of torsion and malignancy for adnexal masses during pregnancy Fertility and Sterility 2009;91:1895-902.
- Cagino K, Li X, Thomas C, Delgado D, Christos P, Acholonu U Jr. Surgical Management of Adnexal Masses in Pregnancy: A Systematic Review and Meta-analysis. J Minim Invasive Gynecol. 2021 Jun;28(6):1171-1182.e2. doi: 10.1016/j.jmig.2021.01.020. Epub 2021 Jan 28. PMID: 33515746.
- Mathevet P, Karima N, Daniel D, Mellier G. Laparoscopic management of adnexal masses in pregnancy: a case series. Eur J Obstet Gynecol Reprod Biol. 2003:10;217-22.
- S. Zweizig, J. Perron, D. Grubb, D.R. Mishell Jr. Conservative management of adnexal torsion. Am J Obstet Gynecol 1993;168:1791–5
Abstract
Gebelikte akut batın tablosu, hızlı tanı ve tedavi edilmesi gereken ve hem maternal hem de fetal sağlığı tehdit eden bir durumdur. Adneksial kitleler gebelikte farklı klinik tablolar sergileyebilmektedirler. Önemli olan hızlı tanı ve uygun tedavi yönteminin uygulanmasıdır. Gebelik sırasında akut batın kliniği ile başvuran hastalarda ayırıcı tanıda adneksiyal torsiyon mutlaka akılda tutulmalıdır. Erken tanı ve tedavi organ koruyucu cerrahi yapılması açısından hayati öneme sahiptir.
Bu yazıda kliniğimize akut batın nedeniyle başvuran 12 haftalık gebelik ile birlikte sol over torsiyon tespit edilen olgunun laparoskopi cerrahi ile başarılı bir şekilde tedavisini sunduk.
Keywords
References
- Chandraharan E, Arulkumaran S. Acute abdomen and abdominal pain in pregnancy. Obstetrics, Gynaecology & Reproductive Medicine 2008;18:205–12.
- Rackow B, Patrizio P. Successful pregnancy complicated by early and late adnexal torsion after in vitro fertilization. Fertility HYPERLINK "http://www.sciencedirect.com/science/journal/00150282" and Sterility 2007;87:e9-12.
- Djavadian D, Braendle W, Jaenicke F.. Laparoscopic oophoropexy for the treatment of recurrent torsion of the adnexa in pregnancy: Case report and review. Fertility and Sterility 2004;82:933-6.
- Condous G, Khalid A, Okaro E, Bourne T.Should we be examining the ovaries in pregnancy? Prevalence and natural history of adnexal pathology detected at first-trimester sonography. Ultrasound Obstet Gynecol 2004;24:62–6.
- Yen C et. al. Risk analysis of torsion and malignancy for adnexal masses during pregnancy Fertility and Sterility 2009;91:1895-902.
- Cagino K, Li X, Thomas C, Delgado D, Christos P, Acholonu U Jr. Surgical Management of Adnexal Masses in Pregnancy: A Systematic Review and Meta-analysis. J Minim Invasive Gynecol. 2021 Jun;28(6):1171-1182.e2. doi: 10.1016/j.jmig.2021.01.020. Epub 2021 Jan 28. PMID: 33515746.
- Mathevet P, Karima N, Daniel D, Mellier G. Laparoscopic management of adnexal masses in pregnancy: a case series. Eur J Obstet Gynecol Reprod Biol. 2003:10;217-22.
- S. Zweizig, J. Perron, D. Grubb, D.R. Mishell Jr. Conservative management of adnexal torsion. Am J Obstet Gynecol 1993;168:1791–5
Details
| Primary Language | English |
|---|---|
| Subjects | Obstetrics and Gynaecology |
| Journal Section | Case Report |
| Authors | |
| Early Pub Date | April 17, 2024 |
| Publication Date | April 30, 2024 |
| Submission Date | January 13, 2024 |
| Acceptance Date | February 6, 2024 |
| Published in Issue | Year 2024 |