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Torsion of a normal ovary in the third trimester of pregnancy: a case report

INTRODUCTION: Adnexal torsion in advanced pregnancy is an uncommon emergency. Torsion usually occurs in ovaries with functional cysts or tumors. It is uncommon for a normal-sized ovary to undergo torsion in advanced gestation. We report torsion of a normal-sized ovary in the third trimester of pregn...

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Autores principales: Silja, Arumugam, Gowri, Vaidyanathan
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2615036/
https://www.ncbi.nlm.nih.gov/pubmed/19063736
http://dx.doi.org/10.1186/1752-1947-2-378
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author Silja, Arumugam
Gowri, Vaidyanathan
author_facet Silja, Arumugam
Gowri, Vaidyanathan
author_sort Silja, Arumugam
collection PubMed
description INTRODUCTION: Adnexal torsion in advanced pregnancy is an uncommon emergency. Torsion usually occurs in ovaries with functional cysts or tumors. It is uncommon for a normal-sized ovary to undergo torsion in advanced gestation. We report torsion of a normal-sized ovary in the third trimester of pregnancy, most probably the first case report of its kind in the English-language literature. CASE PRESENTATION: A 32-year-old Omani woman at 32-weeks gestation (gravida 2 para 1) was admitted with right iliac fossa pain, nausea and vomiting of 2 days duration, as well as a history of a similar episode one month earlier. On examination, a provisional diagnosis of appendicitis was made. Laparotomy revealed, however, that the right ovary was gangrenous and had undergone torsion. CONCLUSION: Adnexal torsion, though rare, should be kept in mind in the differential diagnosis of lower abdominal pain in advanced gestation. Although in our patient, the affected ovary could not be saved, an early diagnosis using imaging like Doppler of the adnexae will enable early intervention to save the ovaries of the patient, especially in young women.
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spelling pubmed-26150362009-01-08 Torsion of a normal ovary in the third trimester of pregnancy: a case report Silja, Arumugam Gowri, Vaidyanathan J Med Case Reports Case Report INTRODUCTION: Adnexal torsion in advanced pregnancy is an uncommon emergency. Torsion usually occurs in ovaries with functional cysts or tumors. It is uncommon for a normal-sized ovary to undergo torsion in advanced gestation. We report torsion of a normal-sized ovary in the third trimester of pregnancy, most probably the first case report of its kind in the English-language literature. CASE PRESENTATION: A 32-year-old Omani woman at 32-weeks gestation (gravida 2 para 1) was admitted with right iliac fossa pain, nausea and vomiting of 2 days duration, as well as a history of a similar episode one month earlier. On examination, a provisional diagnosis of appendicitis was made. Laparotomy revealed, however, that the right ovary was gangrenous and had undergone torsion. CONCLUSION: Adnexal torsion, though rare, should be kept in mind in the differential diagnosis of lower abdominal pain in advanced gestation. Although in our patient, the affected ovary could not be saved, an early diagnosis using imaging like Doppler of the adnexae will enable early intervention to save the ovaries of the patient, especially in young women. BioMed Central 2008-12-08 /pmc/articles/PMC2615036/ /pubmed/19063736 http://dx.doi.org/10.1186/1752-1947-2-378 Text en Copyright © 2008 Silja and Gowri; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Silja, Arumugam
Gowri, Vaidyanathan
Torsion of a normal ovary in the third trimester of pregnancy: a case report
title Torsion of a normal ovary in the third trimester of pregnancy: a case report
title_full Torsion of a normal ovary in the third trimester of pregnancy: a case report
title_fullStr Torsion of a normal ovary in the third trimester of pregnancy: a case report
title_full_unstemmed Torsion of a normal ovary in the third trimester of pregnancy: a case report
title_short Torsion of a normal ovary in the third trimester of pregnancy: a case report
title_sort torsion of a normal ovary in the third trimester of pregnancy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2615036/
https://www.ncbi.nlm.nih.gov/pubmed/19063736
http://dx.doi.org/10.1186/1752-1947-2-378
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