İkinci trimesterda akut batın olgusu ve yönetimi: olgu sunum

Year 2023, , 106 - 109, 28.12.2023

Neval Çayönü Kahraman , Ozge Yucel Celik , Seyit Ahmet Erol

https://doi.org/10.46969/EZH.1399583

Abstract

Amaç: Gebelik sırasında over torsiyonu daha çok birinci trimesterde olan, nadir bir olaydır. Bu olgu sunum ile, bu konuda literature katkı sağlamayı istedik.
Materyal ve Method: Bu olguda, üçüncü trimesterde ortaya çıkan akut bir tablonun yönetimi ve tedavisi anlatılmaktadır. Akut batın tablosu ile gelen 29 hafta gebeye sağ over torsiyonu şüphesiyle acil laparotomi yapılarak detorsiyon ve oforopeksi yapılmıştır. Gebe 37 hafta 3 günlük iken sezaryan doğum gerçekleştirilmiştir.
Sonuç: Gebelikte over torsiyonu atlanmaması gereken acillerden bir tanesidir. Bu vaka ile birlikte gebelikte obstetrik nedenler dışında acil abdominal operasyon yapılabileceği konusunda literature katkı sağlanmıştır.

Keywords

over torsiyon, detorsiyon, ooforopeksi, laparotomi, doppler ultrason

Project Number

11/08

Ovarian torsion during pregnancy: case report

Abstract

Objective: Ovarian torsion during pregnancy is a rare event that occurs mostly in the first trimester. With this case, we wanted to make a contribution to the literature on this topic.
Material and Method: This case describes the management and treatment of an acute condition that occurs in the third trimester. An emergency laparotomy was performed, detorsion and ophoropexy were performed on a 29 weeks pregnant who presented with an acute abdomen, with the suspicion of right ovary torsion. Cesarean delivery was performed when the pregnant woman was 37 weeks and 3 days old.
Result: Ovarian torsion during pregnancy is one of the emergencies that should not be missed. With this case, we contributed to the literature on the possibility of emergency abdominal surgery during pregnancy other than obstetric reasons.

Keywords

over torsion, detorsion, ophoropexy, laparotomy, doppler ultrasound

Project Number

11/08

References

• Kumari I, Kaur S, Mohan H, Huria. Adnexal masses in pregnancy: a 5-year review. Aust N Z J Obstet Gynaecol 2006;46(1):52–4.
• Bouyou J, Gaujoux S, Marcellin L, Leconte M, Goffinet F, Chapron C, et al. Abdominal emergencies during pregnancy. J Visc Surg 2015;152: S105–115.
• Li C, Wang S, Tao X, Hu Y, Li X, Xiao X. Torsion of normal-sized ovary during late pregnancy: a case report and review of the literature. J Obstet Gynaecol Res 2018;44(11):2110–4.
• Becker JH, de Graaf J, Vos CM. Torsion of the ovary: a known but frequently missed diagnosis. Eur J Emerg Med 2009; 16:124–6.
• Shadinger LL, Andreotti RF, Kurian RL. Preoperative sonographic and clinical characteristics as predictors of ovarian torsion. J Ultrasound Med 2008; 27:7–13.
• Polena V, Huchon C, Varas Ramos C, Rouzier R, Dumont A, Fauconnier A. Noninvasive tools for the diagnosis of potentially life-threatening gynaecological emergencies: a systematic review. PLoS One 2015;10(2)e0114189.
• Shadinger LL, Andreotti RF, Kurian RL. Preoperative sonographic and clinical characteristics as predictors of ovarian torsion. J Ultrasound Med 2008;27 (1):7–13.
• Collège National des Gynécologues et Obstétriciens Français. Recommandations pour la pratique clinique: Risques de la voie d’abord en coelioscopie. Pelvi Périnéologie (2010)5:195-202.
• Bassi A, Czuzoj-Shulman N, Abenhaim HA. Effect of pregnancy on the management and outcomes of ovarian torsion: a population-based matched cohort study. J Minim Invasive Gynecol 2018;25(7):1260–5.
• N. Fuchs, N. Smorgick, Y. Tovbin et al. Oophoropexy to prevent adnexal torsion: how, when, and for whom?.Journal of Minimally Invasive Gynecology. 2010;2:205–208.
• Brady PC, Styer AK. Laparoscopic uteroovarian ligament truncation and uterosacral oophoropexy for idiopathic recurrent ovarian torsion: case report and review of literature. Fertility Research and Practice 2015;(1):2.
• Celik A, Ergün O, Aldemir H et al. Long-term results of conservative management of adnexal torsion in children. Journal of Pediatric Surgery. 2005;40(4): 704-708.
• Ozcan C, Celik A, Ozok G, Erdener A, Balik E. Adnexal torsion in children may have a catastrophic sequel: asynchronous bilateral torsion. Journal of Pediatric Surgery. 2002; 37(11): 1617-1620.
• Daykan Y, Bogin R, Sharvit M, Klein Z, Josephy D, Pomeranz M, et al. Adnexal torsion during pregnancy: outcomes after surgical intervention—a retrospective case-control study. J Minim Invasive Gynecol 2019;26(1):117–21.