Torsion of the previously normal uterine adnexa in the second trimester of pregnancy

Kayabasoglu, Furkan; Aydogdu, Serkan; Yılmaz, S.; Sarica, E

doi:10.1007/s00404-010-1709-5

Cited by 5 publications

(3 citation statements)

References 24 publications

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“…In addition, pregnancy as the uterus enlarges and rotates, changing the position of the ovary, may also result in torsion . Torsion happens two or three times more frequently in the right ovary than left, which is thought to be due to the sigmoid colon on the left side . In our case, there was no mass in the left ovary and no obvious precipitating factors for torsion.…”

Section: Discussionmentioning

confidence: 60%

Torsion of normal‐sized ovary during late pregnancy: A case report and review of the literature

Shi-jia

Tao

et al. 2018

J of Obstet and Gynaecol

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Adnexal torsion is one of the most common gynecologic surgical emergencies. All age groups can be affected, but torsion of normal-sized ovary that happens during late pregnancy is rare and challenging to be diagnosed. The objective of this article is to present a case of adnexal torsion in a normal-sized ovary suspected by magnetic resonance imaging (MRI) in the third trimester of pregnancy. A 36-year-old woman at 32 + 5 weeks gestational age was admitted to hospital due to recurrent severe left lower abdominal pain. Doppler ultrasound failed to demonstrate the ovarian diseases, while MRI scan suspected the diagnosis of adnexal torsion. The patient received emergent exploratory laparotomy, and the left adnexa with a necrotic ovary was removed. Tocolytic therapy was used before and after surgery. Finally, she delivered a healthy full-term infant via cesarean section. Adnexal torsion occurring in a normal-sized ovary was quite rare in the third trimester pregnancy. MRI might be better than ultrasound in the early diagnosis of ovarian torsion.

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Section: Discussionmentioning

confidence: 60%

Torsion of normal‐sized ovary during late pregnancy: A case report and review of the literature

Shi-jia

Tao

et al. 2018

J of Obstet and Gynaecol

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“…This is consistent with results from other studies of a similar type. 17,21,22 Since the right utero-ovarian ligament is longer than the left one and/or the left pelvis has the sigmoid colon, which may aid to avoid torsion on that side, the right ovary looks to be more susceptible to torsion than the left one. 23 While 83.4 percent of the pregnant women we evaluated in our research were primigravid, 16.6 percent were multiparous, according to the results of our study.…”

Section: Discussionmentioning

confidence: 99%

Ovarian Torsion During Pregnancy

ÖZBİLGEÇ,

AVCI,

TÜREN DEMİR

et al. 2024

TJRMS

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Pregnancy creates a suitable basis for torsion of the adnexa. However, ovarian torsion in pregnancy is not a common condition. In this study, clinical and laboratory results of women who underwent surgery with the diagnosis of ovarian torsion during pregnancy were examined. Materials and Methods: Medical records of pregnant women who were operated for ovarian torsion in the obstetrics and gynecology clinics of two university hospitals between 2015-2021 were reviewed. A total of 29 pregnant patients with ovarian torsion, 19 in the first trimester and 10 in the second and third trimesters, were included in the study. Results: It was determined that eight of the pregnancies whose data were analyzed within the study were created using assisted reproductive techniques. The pregnant women were divided into two groups according to being in the first and second-third trimesters and they were compared in terms of clinical, laboratory, ultrasonographic findings and delivery methods. There was no statistically significant difference between the analyzed data of the two groups. Ovarian torsion in pregnancy is typically overlooked due to its unclear clinical and objective symptoms. Therefore, it is possible to experience a delay in diagnosing patients. This can be a life-threatening situation for the fetus and mother. Conclusion: Surgical treatment is very important for pregnant women diagnosed with ovarian torsion. There should be no delay in diagnosis and treatment. In surgical treatment, detorsioning of the torsioned ovary alone or surgical fixation of the torsioned adnexa to the surrounding tissues in addition to detorsion can be used.

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“…Similar to previous studies, ovarian torsion happened more frequently in the right ovary than the left ovary in our study also. [ 63 ] The fact that the hypermobility of the cecum and ileum on the right side compared to the proximity of the relatively fixed sigmoid colon is the proposed mechanism for this tendency. [ 64 ]…”

Section: Discussionmentioning

confidence: 99%

Retrospective analysis of patients with surgically proven ovarian torsion, our experience

Taso

Shwyiat

Al-Edwan

et al. 2023

Journal of Family Medicine and Primary Care

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A BSTRACT Aim: To study the patients who were admitted to our hospital with surgically proven ovarian torsion and were operated for the same and to study for whom detorsion was done. Materials and Methods: A retrospective analysis of the medical records and surgical notes of 150 patients with surgically proven ovarian torsion over a 10-year period between January 2011 and January 2021 was carried out. Surgical notes included details like mode of the surgery (laparotomy or laparoscopy), type of surgery (oophorectomy, detorsion, detorsion with cystectomy), whether fixation was done or not, size of mass/ovary, laterality, appearance of the torted ovary, color of the ovary, and number of twists. Histopathologic reports of the patients who underwent oophorectomy or detorsion with cystectomy were also recorded. Results: During the 10-year study period, 88 (58.7%) patients had undergone laparotomy and 62 (41.2%) patients had undergone laparoscopy. Detorsion with cystectomy was done in 96 (64%) cases, detorsion alone in 14 (9.3%) cases, and oophorectomy was done in 40 (26.6%) cases. There was no significant difference in terms of increase in postoperative complications. Conclusion: Laparoscopic detorsion with cystectomy is the most common surgical procedure used for ovarian torsion at King Hussein Medical Center.

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Torsion of the previously normal uterine adnexa in the second trimester of pregnancy

Cited by 5 publications

References 24 publications

Torsion of normal‐sized ovary during late pregnancy: A case report and review of the literature

Torsion of normal‐sized ovary during late pregnancy: A case report and review of the literature

Ovarian Torsion During Pregnancy

Retrospective analysis of patients with surgically proven ovarian torsion, our experience

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