Abstract
Introduction Adnexal torsion is a rare cause of acute abdominal pain during pregnancy. The clinical and laboratory findings are non-specific. In this paper we present a case of adnexal torsion in the first trimester of pregnancy. Case Outline On admission, the patient presented signs of acute abdomen. The pain started few hours prior to admission, and was predominantly localized, occasionally irradiating to the central parts of the lower abdomen, accompanied by nausea and vomiting. Ultrasound revealed viable intrauterine pregnancy and right adnexal mass with small amount of free fluid in the Douglas pouch. After short preoperative evaluation, laparotomy and adnexectomy were performed. Surgery and postoperative followup were uneventful, and histopathology reported torquated corpus luteum cysts. Conclusion The diagnosis of adnexal torsion during pregnancy is difficult, and occasionally remains a diagnostic dilemma. Surgery is inevitable, must be prompt, and comprises adnexectomy.
| Original language | English |
|---|---|
| Pages (from-to) | 239-241 |
| Number of pages | 3 |
| Journal | Srpski Arhiv Za Celokupno Lekarstvo |
| Volume | 139 |
| Issue number | 3-4 |
| DOIs | |
| Publication status | Published - Jul 20 2011 |
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Keywords
- Adnexal torsion
- First trimester
- Pregnancy
- Surgery
- Ultrasound
ASJC Scopus subject areas
- Medicine(all)
Cite this
Acute abdomen caused by adnexal torsion in the first trimester of pregnancy : A case report. / Terzić, Milan; Aksam, Slavica; Maričić, Sanja; Arsenović, Nebojša.
In: Srpski Arhiv Za Celokupno Lekarstvo, Vol. 139, No. 3-4, 20.07.2011, p. 239-241.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Acute abdomen caused by adnexal torsion in the first trimester of pregnancy
T2 - A case report
AU - Terzić, Milan
AU - Aksam, Slavica
AU - Maričić, Sanja
AU - Arsenović, Nebojša
PY - 2011/7/20
Y1 - 2011/7/20
N2 - Introduction Adnexal torsion is a rare cause of acute abdominal pain during pregnancy. The clinical and laboratory findings are non-specific. In this paper we present a case of adnexal torsion in the first trimester of pregnancy. Case Outline On admission, the patient presented signs of acute abdomen. The pain started few hours prior to admission, and was predominantly localized, occasionally irradiating to the central parts of the lower abdomen, accompanied by nausea and vomiting. Ultrasound revealed viable intrauterine pregnancy and right adnexal mass with small amount of free fluid in the Douglas pouch. After short preoperative evaluation, laparotomy and adnexectomy were performed. Surgery and postoperative followup were uneventful, and histopathology reported torquated corpus luteum cysts. Conclusion The diagnosis of adnexal torsion during pregnancy is difficult, and occasionally remains a diagnostic dilemma. Surgery is inevitable, must be prompt, and comprises adnexectomy.
AB - Introduction Adnexal torsion is a rare cause of acute abdominal pain during pregnancy. The clinical and laboratory findings are non-specific. In this paper we present a case of adnexal torsion in the first trimester of pregnancy. Case Outline On admission, the patient presented signs of acute abdomen. The pain started few hours prior to admission, and was predominantly localized, occasionally irradiating to the central parts of the lower abdomen, accompanied by nausea and vomiting. Ultrasound revealed viable intrauterine pregnancy and right adnexal mass with small amount of free fluid in the Douglas pouch. After short preoperative evaluation, laparotomy and adnexectomy were performed. Surgery and postoperative followup were uneventful, and histopathology reported torquated corpus luteum cysts. Conclusion The diagnosis of adnexal torsion during pregnancy is difficult, and occasionally remains a diagnostic dilemma. Surgery is inevitable, must be prompt, and comprises adnexectomy.
KW - Adnexal torsion
KW - First trimester
KW - Pregnancy
KW - Surgery
KW - Ultrasound
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U2 - 10.2298/SARH1104239T
DO - 10.2298/SARH1104239T
M3 - Article
VL - 139
SP - 239
EP - 241
JO - Srpski Arhiv Za Celokupno Lekarstvo
JF - Srpski Arhiv Za Celokupno Lekarstvo
SN - 0370-8179
IS - 3-4
ER -