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A rare condition in the third trimester of pregnancy: Ovarian torsion
Ovarian torsion (OT) during pregnancy is a rare condition that can cause maternal and fetal morbidity. Although the etiology of the disease is not fully understood, predisposing factors include increased ovarian size, free mobility, and long pedicle. The incidence of the disease increases after ovar...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189823/ https://www.ncbi.nlm.nih.gov/pubmed/32355901 http://dx.doi.org/10.4103/2452-2473.276385 |
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author | Yildirim, Halil Ozdinc, Serife |
author_facet | Yildirim, Halil Ozdinc, Serife |
author_sort | Yildirim, Halil |
collection | PubMed |
description | Ovarian torsion (OT) during pregnancy is a rare condition that can cause maternal and fetal morbidity. Although the etiology of the disease is not fully understood, predisposing factors include increased ovarian size, free mobility, and long pedicle. The incidence of the disease increases after ovarian stimulation for the treatment of fertility. Diagnostic imaging modalities include ultrasonography and magnetic resonance imaging (MRI). A 28-year-old woman with a 33-week pregnancy presented to our emergency department with acute, severe left groin pain. According to the patient's declaration, she had her first pregnancy, which was acquired by intrauterine insemination in another center. Her vital signs were unremarkable except for tachycardia. Physical examination revealed guarding (défense musculaire) and rebound tenderness on the left lower quadrant of the abdomen. Laboratory and imaging studies were performed for the preliminary diagnosis of acute abdomen. She was diagnosed with OT and admitted to the department of obstetrics and gynecology. OT should be included in the differential diagnosis of patients with suspected acute abdomen in advanced stages of pregnancy. In addition, MRI should be used as an alternative diagnostic modality in patients with normal sonographic findings. |
format | Online Article Text |
id | pubmed-7189823 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-71898232020-04-30 A rare condition in the third trimester of pregnancy: Ovarian torsion Yildirim, Halil Ozdinc, Serife Turk J Emerg Med Case Report Ovarian torsion (OT) during pregnancy is a rare condition that can cause maternal and fetal morbidity. Although the etiology of the disease is not fully understood, predisposing factors include increased ovarian size, free mobility, and long pedicle. The incidence of the disease increases after ovarian stimulation for the treatment of fertility. Diagnostic imaging modalities include ultrasonography and magnetic resonance imaging (MRI). A 28-year-old woman with a 33-week pregnancy presented to our emergency department with acute, severe left groin pain. According to the patient's declaration, she had her first pregnancy, which was acquired by intrauterine insemination in another center. Her vital signs were unremarkable except for tachycardia. Physical examination revealed guarding (défense musculaire) and rebound tenderness on the left lower quadrant of the abdomen. Laboratory and imaging studies were performed for the preliminary diagnosis of acute abdomen. She was diagnosed with OT and admitted to the department of obstetrics and gynecology. OT should be included in the differential diagnosis of patients with suspected acute abdomen in advanced stages of pregnancy. In addition, MRI should be used as an alternative diagnostic modality in patients with normal sonographic findings. Wolters Kluwer - Medknow 2020-01-28 /pmc/articles/PMC7189823/ /pubmed/32355901 http://dx.doi.org/10.4103/2452-2473.276385 Text en Copyright: © 2020 Turkish Journal of Emergency Medicine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Yildirim, Halil Ozdinc, Serife A rare condition in the third trimester of pregnancy: Ovarian torsion |
title | A rare condition in the third trimester of pregnancy: Ovarian torsion |
title_full | A rare condition in the third trimester of pregnancy: Ovarian torsion |
title_fullStr | A rare condition in the third trimester of pregnancy: Ovarian torsion |
title_full_unstemmed | A rare condition in the third trimester of pregnancy: Ovarian torsion |
title_short | A rare condition in the third trimester of pregnancy: Ovarian torsion |
title_sort | rare condition in the third trimester of pregnancy: ovarian torsion |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189823/ https://www.ncbi.nlm.nih.gov/pubmed/32355901 http://dx.doi.org/10.4103/2452-2473.276385 |
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