Right ovarian torsion and oophorectomy in second trimester of pregnancy with subsequent live birth at term
Journal: Journal of Clinical Images and Medical Case Reports (Vol.2, No. 4)Publication Date: 2021-08-31
Authors : Omotade A Ijarotimi; Olumide A Adeniyi; Stephen O Omitinde; Akaninyene E Ubom; Momoh Ibrahim; Adebanjo B Adeyemi;
Page : 1-4
Keywords : Ovarian cyst; torsion; acute abdomen; cyst accident; pregnancy;
Abstract
Introduction: Ovarian torsion is a cause of acute abdomen in pregnancy with an incidence of less than 1% occurring most commonly in the first trimester. The symptoms are non-specific with a propensity for missed or delayed diagnosis which may worsen the morbidity associated with this condition. Management is mainly surgical and pregnancy outcome is usually satisfactory. Case presentation: We present the case of a 29-year-old G2 P0 +1 with background polycystic ovaries who complained of abdominal pains at an Estimated Gestational Age (EGA) of 21 weeks in pregnancy. Clinical suspicion was confirmed with a 2D abdominopelvic ultrasound and she subsequently had emergency exploratory laparotomy with right oophorectomy. Pregnancy progressed well and she had a live birth at term. Conclusion: Ovarian torsion is rare in pregnancy. Complications following prompt surgical intervention are however, few and pregnancy outcomes are usually favourable.
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