Laparoscopic Adnexal Detorsion in a 20-Week Pregnant Patient: A Case Report and Literature Review
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 enlar...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2019/1093626 |
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| author | Rawad Halimeh Serge Tomassian Maria El Hage Nicole Metri Marianne Bersaoui Rafi Daou Elie Anastasiadis |
| author_facet | Rawad Halimeh Serge Tomassian Maria El Hage Nicole Metri Marianne Bersaoui Rafi Daou Elie Anastasiadis |
| author_sort | Rawad Halimeh |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-53e28a05adec4f6cae7d4053028e7f2b |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-53e28a05adec4f6cae7d4053028e7f2b2025-02-03T06:00:57ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922019-01-01201910.1155/2019/10936261093626Laparoscopic Adnexal Detorsion in a 20-Week Pregnant Patient: A Case Report and Literature ReviewRawad Halimeh0Serge Tomassian1Maria El Hage2Nicole Metri3Marianne Bersaoui4Rafi Daou5Elie Anastasiadis6Obstetrics and Gynecology Department, Saint George Hospital University Medical Center, Beirut, LebanonFaculty of Medicine and Medical Sciences, University of Balamand, El-Koura, LebanonFaculty of Medicine and Medical Sciences, University of Balamand, El-Koura, LebanonFaculty of Medicine and Medical Sciences, University of Balamand, El-Koura, LebanonObstetrics and Gynecology Department, Saint George Hospital University Medical Center, Beirut, LebanonFaculty of Medicine, University of London, St. Georges, Nicosia, CyprusObstetrics and Gynecology Department, Saint George Hospital University Medical Center, Beirut, LebanonAdnexal 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.http://dx.doi.org/10.1155/2019/1093626 |
| spellingShingle | Rawad Halimeh Serge Tomassian Maria El Hage Nicole Metri Marianne Bersaoui Rafi Daou Elie Anastasiadis Laparoscopic Adnexal Detorsion in a 20-Week Pregnant Patient: A Case Report and Literature Review Case Reports in Obstetrics and Gynecology |
| title | Laparoscopic Adnexal Detorsion in a 20-Week Pregnant Patient: A Case Report and Literature Review |
| title_full | Laparoscopic Adnexal Detorsion in a 20-Week Pregnant Patient: A Case Report and Literature Review |
| title_fullStr | Laparoscopic Adnexal Detorsion in a 20-Week Pregnant Patient: A Case Report and Literature Review |
| title_full_unstemmed | Laparoscopic Adnexal Detorsion in a 20-Week Pregnant Patient: A Case Report and Literature Review |
| title_short | Laparoscopic Adnexal Detorsion in a 20-Week Pregnant Patient: A Case Report and Literature Review |
| title_sort | laparoscopic adnexal detorsion in a 20 week pregnant patient a case report and literature review |
| url | http://dx.doi.org/10.1155/2019/1093626 |
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