Key result
Emergency laparotomy with de-torsion and left oophoropexy successfully managed partial ovarian cyst torsion in a 22-year-old pregnant woman, preserving the viable intrauterine pregnancy.
Why the study?
Adnexal torsion is an unusual cause of acute abdominal pain during pregnancy, where antepartum surgical intervention carries risks requiring careful weighing based on mass characterization and gestational age.
Case Report (n=1)
No
Oophoropexy can be a successful management strategy for partial ovarian cyst torsion during the first trimester of pregnancy.
Answers are grounded in this paper and cite their sources.
Oophoropexy may be feasible for partial adnexal torsion in early pregnancy; hypothesis-generating and requires validation before practice change.
Adnexal torsion is an unusual cause of acute abdominal pain during pregnancy. In this case we report a 22 –year old primigravida with 7 weeks gestational age presenting with partial torsion of the left ovarian cyst. She presented to emergency department with acute pain abdomen. She was diagnosed to have partial torsion of left ovarian cyst during pregnancy and oophoropexy was done. Her pregnancy is being followed up and she is currently at 9 weeks of gestation. Although the safety of antepartum surgical intervention has been accepted, abdominal surgery nevertheless carries some risks to a pregnant woman and unborn foetus, and so the choice of management necessitates a weighing of risks based on characterization of the adnexal mass and gestational age.
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Gopulwad et al. (2020) conducted a case report in Ovarian cyst torsion during pregnancy (n=1). Emergency laparotomy with de-torsion and left oophoropexy was evaluated on Maternal recovery and fetal viability. Emergency laparotomy with de-torsion and left oophoropexy successfully managed partial ovarian cyst torsion in a 22-year-old pregnant woman, preserving the viable intrauterine pregnancy.
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