BibTex RIS Kaynak Göster

Ovarian Torsion in the Second Trimester of Pregnancy: A Rare Case Report

Yıl 2011, Cilt: 3 Sayı: 1, 59 - 61, 01.04.2011

İbrahim Alanbay Hakan Çoksuer Mutlu Ercan Uğur Keskin Emre Karaşahin İskender Başer

Öz

Objective: To present a rare case of ovarian torsion in the second trimester of a pregnancy. Case: A 28 years old patient on her 25th gestational week with gravida 1, parity 0 admitted to our emergency unit with the complaints of right lower quadrant pain. A hypoechogenic pelvic mass in 6 cm diameter was defined under the costolumbar area by ultrasound and no doppler flow was obtained. Salpingoophorectomy was performed by laparatomy due to the torsion and necrosis of the right ovary. The patient was discharged on the second day after the operation without any complication. Conclusion: Ovarian torsion must be considered and should be excluded in pregnant patients who applied to emergency room with the complaints of acute abdominal pain.

Anahtar Kelimeler

pregnancy ovarian torsion salpingoopherectomy

Kaynakça

  • 1) Schnee DM.: The adnexal mass in pregnancy. Mo Med 2004; 101: 42-45.
  • 2) Platek DN, Henderson CE, Goldberg GL.: Management of a persistent adnexal mass in pregnancy. Am J Obstet Gynecol 1995; 173: 1236-1240
  • 3) Sherard GB 3rd, Hodson CA, Williams HJ, Semer DA, Hadi HA, Tait DL.: Adnexal masses and pregnancy: a 12 year experience. Am J Obstet Gynecol 2003; 189: 358-362.
  • 4) Whitecar MP, Turner S, Higby MK.: Adnexal masses in pregnancy: a review of 130 cases undergoing surgical management. Am J Obstet Gynecol 1999; 181: 19-24.
  • 5) Visser BC, Glasgow RE, Mulvihill KK, Mulvihill SJ.: Safety and timing of nonobstetric abdominal surgery in pregnancy. Dig Surg 2001; 18: 409-417.
  • 6) Mancuso A, Broccio G, Angio L.: Adnexal torsion in pregnancy. Acta Obstet Gynecol Scand 1997; 76: 83–84.
  • 7) Morice P, Louis-Sylvestre C, Chapron C, Dubuisson JB.: Laparoscopy for adnexal torsion in pregnant women. J Reprod Med 1997; 42: 435–439.
  • 8) Glanc P, Salem S, Farine D.: Adnexal masses in the pregnant patient a diagnostic and management challenge. Ultrasound Q. 2008; 24: 225-240.
  • 9) Whitecar MP, Turner S, Higby K.: Adnexial masses in pregnancy: A review of 130 cases undergoing surgical management. Am J Obstet Gynecol 1999; 191: 19-24.
  • 10) Gary Scott Leisrowitz. Surgical Complications During Pregnancy. In: Niswander KR, Evans AT (Eds). Manual of Obstetrics, 5th Ed. Boston, Little Brown and Company, 1996: 239-260.
  • 11) Michel E. Rivlin. Surgery and Trauma in Pregnancy. In: Rivlin ME, Martin RW, Wiser WL (Eds). Manual of Clinical Problems in Obsterics and Gynecology, 5th Ed. Philadelphia, Lippincott Williams and Wilkins, 2000: 126-130.
  • 12) Martin JR, Martin RW, Morrison JC.: Surgical Diseases and Disorders in Pregnancy. In: Pernoll ML (Ed). Current Obstetric and Gynecologic Diagnosis and Treatment, 7th Ed. Connecticut, Appleton and Lange, 1991: 480-492.
  • 13) Hasiakos D, Papakonstantinou K, Kontoravdis A, Gogas L, Aravantinos L, Vitoratos N.: Adnexal torsion during pregnancy: report of four cases and review of the literature. J Obstet Gynaecol Res. 2008; 34: 683-687.
  • 14) McCrea RS.: Uterine adnexal torsion with subsequent contralateral recurrence. J Reprod Med 1980; 25: 123–124.
  • 15) Germain M, Rarick T, Robins E.: Management of intermittent ovarian torsion by laparoscopic oophoropexy. Obstet Gynecol 1996; 88: 715–717.
  • 16) Born C, Wirth S, Stäbler A, Reiser M.: Diagnosis of adnexal torsion in the third trimester of pregnancy: a case report. Abdom Imaging. 2004; 29:123-127.

II. Trimester Gebelikte Ovaryan Torsiyon; Nadir Bir Olgu Sunumu

Yıl 2011, Cilt: 3 Sayı: 1, 59 - 61, 01.04.2011

İbrahim Alanbay Hakan Çoksuer Mutlu Ercan Uğur Keskin Emre Karaşahin İskender Başer

Öz

Amaç: Gebeliğin 2.trimesterinde görülen ovaryan torsiyon olgusunu sunmaktır. Olgu: 28 yaşında gravida 1, parite 0 olan SAT' e göre 25 haftalık gebe sağ yan ağrısı şikayeti ile kliniğimize başvurdu. Ultrasonografide kostolomber bölgenin altında, hipoekojen, yaklaşık 6 cm'lik, dopplerde akım izlenmeyen kitle izlendi. Laparotomide sağ adnekste overin torsiyone ve nekrotik olmasından dolayı salpingooferektomi yapıldı. Hasta postoperatif 2.günde sorunsuz taburcu edildi. Sonuç: Akut abdominal ağrı ile başvuran gebelerde ovaryan torsiyon mutlaka düşünülmeli ve ekarte edilmeye çalışılmalıdır.

Anahtar Kelimeler

gebelik over torsiyonu salpingooferektomi

Kaynakça

  • 1) Schnee DM.: The adnexal mass in pregnancy. Mo Med 2004; 101: 42-45.
  • 2) Platek DN, Henderson CE, Goldberg GL.: Management of a persistent adnexal mass in pregnancy. Am J Obstet Gynecol 1995; 173: 1236-1240
  • 3) Sherard GB 3rd, Hodson CA, Williams HJ, Semer DA, Hadi HA, Tait DL.: Adnexal masses and pregnancy: a 12 year experience. Am J Obstet Gynecol 2003; 189: 358-362.
  • 4) Whitecar MP, Turner S, Higby MK.: Adnexal masses in pregnancy: a review of 130 cases undergoing surgical management. Am J Obstet Gynecol 1999; 181: 19-24.
  • 5) Visser BC, Glasgow RE, Mulvihill KK, Mulvihill SJ.: Safety and timing of nonobstetric abdominal surgery in pregnancy. Dig Surg 2001; 18: 409-417.
  • 6) Mancuso A, Broccio G, Angio L.: Adnexal torsion in pregnancy. Acta Obstet Gynecol Scand 1997; 76: 83–84.
  • 7) Morice P, Louis-Sylvestre C, Chapron C, Dubuisson JB.: Laparoscopy for adnexal torsion in pregnant women. J Reprod Med 1997; 42: 435–439.
  • 8) Glanc P, Salem S, Farine D.: Adnexal masses in the pregnant patient a diagnostic and management challenge. Ultrasound Q. 2008; 24: 225-240.
  • 9) Whitecar MP, Turner S, Higby K.: Adnexial masses in pregnancy: A review of 130 cases undergoing surgical management. Am J Obstet Gynecol 1999; 191: 19-24.
  • 10) Gary Scott Leisrowitz. Surgical Complications During Pregnancy. In: Niswander KR, Evans AT (Eds). Manual of Obstetrics, 5th Ed. Boston, Little Brown and Company, 1996: 239-260.
  • 11) Michel E. Rivlin. Surgery and Trauma in Pregnancy. In: Rivlin ME, Martin RW, Wiser WL (Eds). Manual of Clinical Problems in Obsterics and Gynecology, 5th Ed. Philadelphia, Lippincott Williams and Wilkins, 2000: 126-130.
  • 12) Martin JR, Martin RW, Morrison JC.: Surgical Diseases and Disorders in Pregnancy. In: Pernoll ML (Ed). Current Obstetric and Gynecologic Diagnosis and Treatment, 7th Ed. Connecticut, Appleton and Lange, 1991: 480-492.
  • 13) Hasiakos D, Papakonstantinou K, Kontoravdis A, Gogas L, Aravantinos L, Vitoratos N.: Adnexal torsion during pregnancy: report of four cases and review of the literature. J Obstet Gynaecol Res. 2008; 34: 683-687.
  • 14) McCrea RS.: Uterine adnexal torsion with subsequent contralateral recurrence. J Reprod Med 1980; 25: 123–124.
  • 15) Germain M, Rarick T, Robins E.: Management of intermittent ovarian torsion by laparoscopic oophoropexy. Obstet Gynecol 1996; 88: 715–717.
  • 16) Born C, Wirth S, Stäbler A, Reiser M.: Diagnosis of adnexal torsion in the third trimester of pregnancy: a case report. Abdom Imaging. 2004; 29:123-127.
Toplam 16 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Case Report
Yazarlar

İbrahim Alanbay Bu kişi benim

Hakan Çoksuer Bu kişi benim

Mutlu Ercan Bu kişi benim

Uğur Keskin Bu kişi benim

Emre Karaşahin Bu kişi benim

İskender Başer Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2011
Yayımlandığı Sayı Yıl 2011 Cilt: 3 Sayı: 1

Kaynak Göster

Vancouver Alanbay İ, Çoksuer H, Ercan M, Keskin U, Karaşahin E, Başer İ. II. Trimester Gebelikte Ovaryan Torsiyon; Nadir Bir Olgu Sunumu. Maltepe tıp derg. 2011;3(1):59-61.