Acute abdomen caused by adnexal torsion in the first trimester of pregnancy: A case report

Milan Terzić, Slavica Aksam, Sanja Maričić, Nebojša Arsenović

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 languageEnglish
Pages (from-to)239-241
Number of pages3
JournalSrpski Arhiv Za Celokupno Lekarstvo
Volume139
Issue number3-4
DOIs
Publication statusPublished - Jul 20 2011

Fingerprint

Acute Abdomen
First Pregnancy Trimester
Pregnancy
Douglas' Pouch
Ovarian Cysts
Patient Admission
Acute Pain
Abdomen
Laparotomy
Nausea
Abdominal Pain
Vomiting
Pain

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 journalArticle

Terzić, Milan ; Aksam, Slavica ; Maričić, Sanja ; Arsenović, Nebojša. / Acute abdomen caused by adnexal torsion in the first trimester of pregnancy : A case report. In: Srpski Arhiv Za Celokupno Lekarstvo. 2011 ; Vol. 139, No. 3-4. pp. 239-241.
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