Bilateral Torsion of Adnexa I N Second Trimester of Pregnancy : A Case Report

Abstract

Adnexal torsion during pregnancy is a rare event and bilateral adnexal torsion is even rarer. Hence this case is reported. A 20-year-old woman, Gravida 2, Para 1 presented in the second trimester of pregnancy with marked abdominal distension and pain. Transabdominal ultrasonographic examination revealed bilateral huge ovarian cysts and live fetus in utero of 14 weeks gestational age. Laparotomy revealed massive bilateral cysts with torsion on both sides. Right sided saphingo-oophorectomy and left sided cystectomy was done. Patient was followed up who delivered a healthy baby at term. Hence prompt diagnosis and management is essential in adnexal torsion especially in bilateral involvement not just for the index but also for future pregnancies.