Volume : VI, Issue : IX, September - 2017

Torsion of Adnexal mass during pregnancy: a case report

Dr Tushar Palve, Dr Ekta Kumari, Dr Nidhi Kurkal

Abstract :

 Adnexal torsion is a rare case cause of acute abdominal pain during pregnancy. Torsion usually occurs in ovaries with previously diagnosed cysts and tumors,other causes are ectopic pregnancy , theca lutein cyst, leutinized follicular cyst, crpus leuteum cyst, hyperstimulated ovaries, benign ovarian cyst such as cystadenomas, endometriomas, mature cystic teratoma. It is rare for a previously normal ovary to undergo torsion in advanced gestation. It is frequently associated with ovarian stimulation for in vitro fertilization(IVF) or with ovarian and tuboovarian masses,mainly of functional origin. In this case we report a 19 -year-old primigravida with 12weeks and 5days  pregnancy with severe left abdominal pain..Transabdominal ultrasound scan reported anechoic tuboovarian mass(14.6x11.8x12cm) with avascular left ovary with torsion. Exploratory laparotomy with left cyst aspiration followed by left salphingoophorectomy was done. Her pregnancy is being followed up, till now uneventful. Although the safety of antepartum surgical intervention has been accepted, abdominal surgery nevertheless carries some risks to a pregnant woman and unborn fetus, and so the choice of management necessitates a weighing of risks based on characterization of the adnexal mass and gestational age.

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

Dr Tushar Palve, Dr Ekta kumari, Dr Nidhi Kurkal, Torsion of Adnexal mass during pregnancy: a case report, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : VOLUME-6, ISSUE-9, SEPTEMBER-2017

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