Adnexal Torsion in the Third Trimester of Pregnancy: A Challenging Diagnosis

Ahter Tanay Tayyar; Ahmet Tayyar; Tolga Atakul; Mehmet Baki Senturk; Cevat Rifat Cundubey; Mehmet Tayyar

doi:10.18203/2320-1770.ijrcog20172955

Authors

Ahter Tanay Tayyar Department of Obstetrics and Gynecology, Health Sciences University Zeynep Kamil Maternity and Childrens Training and Research Hospital, İstanbul, Turkey.
Ahmet Tayyar Department of Obstetrics and Gynecology, Health Sciences University Kanuni Sultan Süleyman Education and Research Hospital, Istanbul, Turkey.
Tolga Atakul Department of Obstetrics and Gynecology, Faculty of Medicine, Adnan Menderes University, Aydın, Turkey
Mehmet Baki Senturk Department of Obstetric and Gynecology, Medeniyet University, Goztepe Educational and Research Hospital,Istanbul,Turkey
Cevat Rifat Cundubey Department of Obstetrics and Gynecology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
Mehmet Tayyar Department of Obstetrics and Gynecology, Faculty of Medicine, Erciyes University, Kayseri, Turkey

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20172955

Keywords:

Adnexal torsion, Diagnosis, Pregnancy, Third trimester

Abstract

The incidence of adnexal torsion (AT) is reported 1 in 10000 births. AT is emergency condition in pregnancy, while the risk of late diagnosis is increased, in third trimester. Since it has been described as a severe complication after controlled ovarian hyper-stimulation for in vitro fertilization (IVF), it is more common in IVF pregnancies. This condition mainly occurs in the first trimester; it is rare during the late third trimester. Herein, we report a case of a 26-year-old woman, gravida 1, singleton pregnancy in the 30th week of gestation was presented to emergency department with 24-hour history of a stabbing pain because of AT. Removal of adnexa performed by laparotomy. The patient had labour pain and cervical dilatation at the 36th week of gestation and a healthy girl weighing 2,200 g was born by emergency caesarean section due to breech presentation.

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