Laparoscopic Adnexal Detorsion in a 20-Week Pregnant Patient: A Case Report and Literature Review.

Autor: Halimeh R; Obstetrics and Gynecology Department, Saint George Hospital University Medical Center, Beirut, Lebanon., Tomassian S; Faculty of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon., El Hage M; Faculty of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon., Metri N; Faculty of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon., Bersaoui M; Obstetrics and Gynecology Department, Saint George Hospital University Medical Center, Beirut, Lebanon., Daou R; Faculty of Medicine, University of London, St. Georges, Nicosia, Cyprus., Anastasiadis E; Obstetrics and Gynecology Department, Saint George Hospital University Medical Center, Beirut, Lebanon.
Jazyk: angličtina
Zdroj: Case reports in obstetrics and gynecology [Case Rep Obstet Gynecol] 2019 Nov 11; Vol. 2019, pp. 1093626. Date of Electronic Publication: 2019 Nov 11 (Print Publication: 2019).
DOI: 10.1155/2019/1093626
Abstrakt: 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.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2019 Rawad Halimeh et al.)
Databáze: MEDLINE
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