Key result
A 32-year-old woman at 39 weeks gestation presenting with persistent left lower quadrant pain was found to have a torsion of the left infundibular ligament with acute infarct during a cesarean section.
Why the study?
Ovarian and adnexal torsions are gynecologic emergencies that are rare in pregnancy, particularly at full term.
Case Report (n=1)
This case report highlights a rare occurrence of ovarian torsion at full term pregnancy, emphasizing the need to consider it in the differential diagnosis of abdominal pain.
Hypothesis-generating for adnexal torsion in term pregnancy; leaves open need for prospective series before changing diagnostic thresholds.
Background Ovarian and adnexal torsions are gynecologic emergencies [Li Q, Li X, Zhang P. Ovarian torsion caused by hyperreactio luteinalis in the third trimester of pregnancy: a case report. Int J Clin Exp Med. 2015;8:19612–5; Ssi-Yan-Kai G, Rivain AL, Trichot C, Morcelet MC, Prevot S, Deffieux X. What every radiologist should know about adnexal torsion. Emerg Radiol. 2018;25:51–9; Huchon C, Fauconnier A. Adnexal torsion: a literature review. Eur J Obstet Gynecol Reprod Biol. 2010;150:8–12]. Case presentation Though rare in pregnancy, this case report describes a 32-year-old G0 at 39 + 3/7 weeks with a history of kidney stones and a simple ovarian cyst that presented to the labor floor with left lower quadrant pain. She underwent an induction of labor for persistent pain and had a subsequent primary section for a category II tracing. Conclusion During the section, a torsion x3 of the left infundibular ligament was noted. The pathology indicated an acute infarct – only one other case of a full-term torsion was found in the literature (Li Q, Li X, Zhang P. Ovarian torsion caused by hyperreactio luteinalis in the third trimester of pregnancy: a case report. Int J Clin Exp Med. 2015;8:19612–5).
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Stephanie Trentacoste McNally (2019) conducted a case report in Ovarian torsion in term pregnancy (n=1). Cesarean section was evaluated on Diagnosis of ovarian torsion and acute infarct. A 32-year-old woman at 39 weeks gestation presenting with persistent left lower quadrant pain was found to have a torsion of the left infundibular ligament with acute infarct during a cesarean section.
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