Ovarian Torsion in The Third Trimester of A Twin Pregnancy: A Case Report
Abstract
During pregnancy, ovarian torsion (OT) occurs at a rate of 1 to 5 per 100,000 and is extremely uncommon. There is only one case report of OT occurring in a third-trimester, twin pregnancy. In the present case, a 30-year-old female patient whose first pregnancy was dichorionic diamniotic and at 30 weeks of age was admitted to our emergency service with the complaint of chronic pain. The patient had a history of spontaneous pregnancy and an increase in carcinoembryonic antigen level was found in her biochemical indicators. Magnetic resonance imaging and Doppler ultrasound indicated OT, therefore she had surgery that involved making a midline incision under the umbilicus. Both ovary and tuba uteri were removed as they were necrotic and twist on the right side of the adnexa. No complications developed following the surgery and pathology showed mucinous cyst adenoma. The most common causes of abdominal pain in the third trimester are gas, constipation, Braxton-Hicks, urinary tract infection, appendicitis, and preeclampsia. Although OT is extremely rare in the third trimester of spontaneous twin pregnancies, it should be considered in the differential diagnosis.
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References
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