Document Details

Document Type : Article In Journal 
Document Title :
Laparoscopic Treatment of Torsion of the Adnexa in Pregnancy: A Case Report
Laparoscopic Treatment of Torsion of the Adnexa in Pregnancy: A Case Report
 
Subject : Obstetrics and Gynecology 
Document Language : English 
Abstract : To report a case of laparoscopic untwisting of the adnexa in pregnancy followed by unilateral salpingo-oophorectomy. Case Report and literature review. A 26-year old, G1 PO, 12 week pregnant woman was admitted with a sudden onset of lower abdominal pain. Examination showed that the lower abdomen was tender. Pelvic examination revealed a 12-week sized uterus and exquisite tenderness with ill-defined fullness in the right adnexa. Ultrasonography confirmed the presence of 10 x 8 cm right adnexal mass. At laparoscopy, a 10 x 8 bluish-black, ischemic adnexa was seen. With gentle manipulation, the adnexa was untwisted 720 degrees around the ovarian pedicle. Nevertheless, normal color did not reappear and there was no evidence of normalization of ovarian perfusion. Therefore, right adnexectomy was per-formed through a Pfanenastiel incision. Final pathology confirmed infarcted and necrotic adnexa. Conservative laparoscopic treatment of adnexal torsion is gaining popularity. Presented here is a case of infarcted adnexa despite untwisting. Lack of normal color and ovarian perfusion after laparoscopic untwisting calls for removal of the adnexa 
ISSN : 1319-1004 
Journal Name : Medical Science Journal 
Volume : 8 
Issue Number : 1 
Publishing Year : 1420 AH
2000 AD 
Article Type : Case Report 
Added Date : Saturday, April 2, 2011 

Researchers

Researcher Name (Arabic)Researcher Name (English)Researcher TypeDr GradeEmail
عبدالرحيم روزيRouzi, AbdulRahim ResearcherDoctorate 

Files

File NameTypeDescription
 29481.pdf pdf 

Back To Researches Page