Torsion d’annexe saine et grossesse: à propos d’un cas

Normal adnexal torsion is rare during pregnancy. We here report the case of a 22-year old patient presenting with acute lateropelvic pain associated with a 2-month history amenorrhea. Exploratory laparotomy showed severe ischemia due to torsion in a normal ovary. The patient underwent adnexal detors...

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Detalles Bibliográficos
Autores principales: Guennoun, Ahmed, Krimou, Yousra, Mamouni, Nisrine, Errarhay, Sanaa, Bouchikhi, Chahrazed, Banani, Abdelaziz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5579449/
https://www.ncbi.nlm.nih.gov/pubmed/28904722
http://dx.doi.org/10.11604/pamj.2017.27.197.12250
Descripción
Sumario:Normal adnexal torsion is rare during pregnancy. We here report the case of a 22-year old patient presenting with acute lateropelvic pain associated with a 2-month history amenorrhea. Exploratory laparotomy showed severe ischemia due to torsion in a normal ovary. The patient underwent adnexal detorsion without ovarian pexy. The postoperative course was uneventful. Ultrasound examination after 3 weeks showed normal pregnancy. Ovarian torsion is an emergency that should not be ignored in pregnant women with acute pelvic pain. Conservative treatment is the gold standard and proper management is necessary to avoid possible maternal and fetal complications.

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