Adnexal torsion in pregnancy: A systematic review of case reports and case series

Didar, Hamidreza; Najafiarab, Hanieh; Keyvanfar, Amirreza; Hajikhani, Bahareh; Ghotbi, Elena; Kazemi, Seyyedeh Neda

doi:10.1016/j.ajem.2022.12.026

Cited by 6 publications

(18 citation statements)

References 147 publications

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“…It is defined by partial or complete rotation of the adnexal mass around its vascular axis. This rotation may be favoured by the presence of an adnexal mass or, more rarely, may occur in healthy adnexa [2]. It is a surgical emergency whose clinical diagnosis remains difficult due to the non-specificity of the clinical picture, the sympathetic signs of pregnancy that may complicate the diagnosis, and the increased size of the uterus that makes the examination difficult.…”

Section: Introductionmentioning

confidence: 99%

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Adnexal Torsion and Epiploic Appendigitis in Pregnant Women: Case Report

Oumayma Ben,

Amal,

Cyrine

et al. 2024

Obstet Gynecol Cases Rev

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Adnexal torsion is a surgical emergency that cannot be ignored in women. It is a diagnostic and therapeutic challenge. While the occurrence of adnexal torsion in pregnant women is rare, it still can present significant risks. We present the case of a 23-year-old woman, pregnant at 24 weeks of amenorrhea and consulted for an acute abdominal pain. She underwent exploratory laparoscopy, which revealed ovarian torsion caused by a functional cyst along with epiploic appendigitis. During the procedure, we punctured the cyst, detorsed the adnexa and resected the epiploic appendigitis. The postoperative follow-up was favourable. Ultrasound at 2 weeks showed continued pregnancy.

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Section: Introductionmentioning

confidence: 99%

“…We present a case of adnexal torsion and epiploic appendigitis in a pregnant woman in the second trimester. adnexal mobility during the second and third trimesters as the uterus increases in size [2].…”

Section: Introductionmentioning

confidence: 99%

Adnexal Torsion and Epiploic Appendigitis in Pregnant Women: Case Report

Oumayma Ben,

Amal,

Cyrine

et al. 2024

Obstet Gynecol Cases Rev

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“…AT is uncommon, with a reported incidence of six in 100,000 per year [ 1 ]. Diagnosis is particularly challenging in pregnancy, owing to the distortion of abdominal anatomy by the gravid uterus, the difficulty of abdominal examination during pregnancy, and the wide range of potential diagnoses associated with its non-specific symptoms [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…It is estimated that 12-18% of all cases of AT occur during pregnancy [ 3 ], with only 19% of these occurring in the third trimester [ 2 ]. Whether pregnancy itself represents a risk factor for AT is contentious, with some evidence that pregnancy may even be protective [ 2 , 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Adnexal Torsion in the Third Trimester

Thiyagalingam,

Petrosellini,

Mellon

2024

Cureus

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A 41-year-old woman presented with acute, severe left-sided abdominal pain and vomiting at 37 weeks’ gestation. Her symptoms were attributed to renal colic, and she was admitted for supportive treatment. During her admission, she went into spontaneous labour. Due to other obstetric indications, the team proceeded with delivery by emergency caesarean section. Intra-operatively, a necrotic left fallopian tube and ovary were identified, and a diagnosis of adnexal torsion (AT) was recognised. There was no return of tissue perfusion on de-torsion, and a left salpingo-oopherectomy was performed. AT in pregnancy is unusual, with only a minority of cases occurring in the third trimester. This is a challenging diagnosis to establish and requires a high index of suspicion. Ultrasound and magnetic resonance imaging can be helpful in establishing a diagnosis but should not delay definitive treatment. Prompt surgical intervention is paramount to prevent irreversible damage to ovarian tissue.

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“…Acute abdominal events during pregnancy present a diagnostic and therapeutic challenge [ [1] , [2] , [3] , [4] , [5] ]. The feasibility and safety of laparoscopic surgery for obstetric and non-obstetric disorders in any trimester of pregnancy are well established [ 2 ], but reports on laparoscopic management of adnexal torsion in the third trimester remain limited [ [6] , [7] , [8] , [9] ].…”

Section: Introductionmentioning

confidence: 99%

Gasless laparoendoscopic single-site assisted extracorporeal ovarian cystectomy through the umbilicus for the management of ovarian torsion at 33 weeks of gestation: A case report with literature review

Adnexal torsion in pregnancy: A systematic review of case reports and case series

Cited by 6 publications

References 147 publications

Adnexal Torsion and Epiploic Appendigitis in Pregnant Women: Case Report

Adnexal Torsion and Epiploic Appendigitis in Pregnant Women: Case Report

Adnexal Torsion in the Third Trimester

Gasless laparoendoscopic single-site assisted extracorporeal ovarian cystectomy through the umbilicus for the management of ovarian torsion at 33 weeks of gestation: A case report with literature review

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