Adnexal Torsion in the Third Trimester of Pregnancy After in Vitro Fertilization: A Case Report

Adnexal torsion causes venous and lymphatic blockade complicated by congestion. Adnexal torsion is seldom in pregnancy, occuring approximately 1 in 5000 pregnancies, more frequently in the first trimester. Acute abdominal pain and abdominal disturbances are challenging issues during pregnancy for th...

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Main Authors: İlker Selçuk, Gökhan Boyraz, İbrahim Esinler
Format: Article
Language:English
Published: Medical Network 2016-05-01
Series:Gynecology Obstetrics & Reproductive Medicine
Subjects:
Online Access:http://gorm.com.tr/index.php/GORM/article/view/216
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author İlker Selçuk
Gökhan Boyraz
İbrahim Esinler
author_facet İlker Selçuk
Gökhan Boyraz
İbrahim Esinler
author_sort İlker Selçuk
collection DOAJ
description Adnexal torsion causes venous and lymphatic blockade complicated by congestion. Adnexal torsion is seldom in pregnancy, occuring approximately 1 in 5000 pregnancies, more frequently in the first trimester. Acute abdominal pain and abdominal disturbances are challenging issues during pregnancy for the diagnosis. The clinical symptoms are non-specific. Colour and power Doppler sonography may be useful for the early diagnosis. Adnexal torsion is generally due to ovarian stimulation treatment or ovarian masses in pregnancy. The correct diagnosis of maternal ovarian torsion might be delayed or underestimated in the second half of gestation because the increased dimensions of the uterus could blockade the abdominal palpation and make the sonography inefficient. Laparoscopy should be preferable for the adnexal torsion suspicion. But as the gestational age increases laparotomy should be a choice because of the risk of injury to the uterus related to the enlarged volume by the fetus.
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spelling doaj.art-88fe79a45d8f456eb892e299f9ed36b92023-02-15T16:14:15ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512016-05-01193154Adnexal Torsion in the Third Trimester of Pregnancy After in Vitro Fertilization: A Case Reportİlker Selçuk0Gökhan Boyraz1İbrahim Esinler2Hacettepe University Faculty of Medicine Department of Obstetrics and Gynecology, AnkaraHacettepe University Faculty of Medicine Department of Obstetrics and Gynecology, AnkaraHacettepe University Faculty of Medicine Department of Obstetrics and Gynecology, AnkaraAdnexal torsion causes venous and lymphatic blockade complicated by congestion. Adnexal torsion is seldom in pregnancy, occuring approximately 1 in 5000 pregnancies, more frequently in the first trimester. Acute abdominal pain and abdominal disturbances are challenging issues during pregnancy for the diagnosis. The clinical symptoms are non-specific. Colour and power Doppler sonography may be useful for the early diagnosis. Adnexal torsion is generally due to ovarian stimulation treatment or ovarian masses in pregnancy. The correct diagnosis of maternal ovarian torsion might be delayed or underestimated in the second half of gestation because the increased dimensions of the uterus could blockade the abdominal palpation and make the sonography inefficient. Laparoscopy should be preferable for the adnexal torsion suspicion. But as the gestational age increases laparotomy should be a choice because of the risk of injury to the uterus related to the enlarged volume by the fetus.http://gorm.com.tr/index.php/GORM/article/view/216Adnexal torsion, Pregnancy, Ovarian stimulation, IVF
spellingShingle İlker Selçuk
Gökhan Boyraz
İbrahim Esinler
Adnexal Torsion in the Third Trimester of Pregnancy After in Vitro Fertilization: A Case Report
Gynecology Obstetrics & Reproductive Medicine
Adnexal torsion, Pregnancy, Ovarian stimulation, IVF
title Adnexal Torsion in the Third Trimester of Pregnancy After in Vitro Fertilization: A Case Report
title_full Adnexal Torsion in the Third Trimester of Pregnancy After in Vitro Fertilization: A Case Report
title_fullStr Adnexal Torsion in the Third Trimester of Pregnancy After in Vitro Fertilization: A Case Report
title_full_unstemmed Adnexal Torsion in the Third Trimester of Pregnancy After in Vitro Fertilization: A Case Report
title_short Adnexal Torsion in the Third Trimester of Pregnancy After in Vitro Fertilization: A Case Report
title_sort adnexal torsion in the third trimester of pregnancy after in vitro fertilization a case report
topic Adnexal torsion, Pregnancy, Ovarian stimulation, IVF
url http://gorm.com.tr/index.php/GORM/article/view/216
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