Ovarian torsion in a twin pregnancy at 32 weeks and 6 days: A case-report

被引：5

作者：

Bernigaud, Oriane ^{[1
]}

Fraison, Eloise ^{[1
,2
]}

Thiberville, Gabriel ^{[1
]}

Lamblin, Gery ^{[1
]}

机构：

[1] CHU Lyon, Dept Obstet & Gynecol, Hop Femme Mere Enfant, 59 Bd Pinel, F-69500 Bron, France

[2] CHU Lyon, Dept Reprod Med, Hop Femme Mere Enfant, 59 Bd Pinel, F-69500 Bron, France

来源：

JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION | 2021年 / 50卷 / 06期

关键词：

Ovarian torsion; Twin pregnancy; Third trimester; Mini laparotomy; Ultrasound guidance; Case report; ADNEXAL TORSION; LAPAROSCOPIC MANAGEMENT; HYPERSTIMULATION;

D O I：

10.1016/j.jogoh.2021.102117

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Background: Ovarian torsion during pregnancy is a rare event and occurs mostly during the first trimester. This is the first case describing the diagnosis and management of an ovarian torsion at 33 weeks in a twin pregnancy with a normal term delivery. Case summary: The patient presented with irregular uterine contraction due to an acute abdominal pain in the right iliac fossa. A cyst was discovered during the ultrasound scan on the right ovary and a torsion was highly suspected. A small laparotomy facing the ovarian mass after an ultrasound guidance was chosen. The patient finally delivered at 37 weeks. Conclusion: The clinic holds a preponderant place in the diagnosis of ovarian torsion. Our surgical approach by laparotomy under ultrasound guidance was less risky than by laparoscopy. (C) 2021 Elsevier Masson SAS. All rights reserved.

引用

页数：5

共 27 条

[1] Ovarian salvage in bilaterally complicated severe ovarian hyperstimulation syndrome [J].

Al Omari, Wafa ;

Ghazal-Aswad, Saad ;

Sidky, Islam H. ;

Al Bassam, Maha Khalid .

FERTILITY AND STERILITY, 2011, 96 (02) :E77-E79

[2] Ovarian torsion in in vitro fertilization-induced twin pregnancy: Combination of Doppler ultrasound and laparoscopy in diagnosis and treatment can quickly solve the case [J].

Arena, Saverio ;

Canonico, Silvia ;

Luzi, Giuseppe ;

Epicoco, Giorgio ;

Brusco, Gian Francesco ;

Affronti, Giuseppe .

FERTILITY AND STERILITY, 2009, 92 (04) :1496.e9-1496.e13

[3] Laparoscopic management of adnexal torsion in a twin, in vitro fertilization pregnancy at 23 weeks [J].

Aydin, Turgut ;

Yucel, Burak .

VIDEOSURGERY AND OTHER MINIINVASIVE TECHNIQUES, 2014, 9 (04) :655-657

[4] Effect of Pregnancy on the Management and Outcomes of Ovarian Torsion: A Population-Based Matched Cohort Study [J].

Bassi, Ali ;

Czuzoj-Shulman, Nicholas ;

Abenhaim, Haim Arie .

JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2018, 25 (07) :1260-1265

[5] Successful laparoscopic management of adnexal torsion during week 25 of a twin pregnancy [J].

Bassil, S ;

Steinhart, U ;

Donnez, J .

HUMAN REPRODUCTION, 1999, 14 (03) :855-857

[6] Abdominal emergencies during pregnancy [J].

Bouyou, J. ;

Gaujoux, S. ;

Marcellin, L. ;

Leconte, M. ;

Goffinet, F. ;

Chapron, C. ;

Dousset, B. .

JOURNAL OF VISCERAL SURGERY, 2015, 152 (06) :S105-S115

[7] Sequential bilateral adnexal torsion after a single cycle of gonadotropin ovulation induction with intrauterine insemination [J].

Child, TJ ;

Watson, NR ;

Ledger, WL .

FERTILITY AND STERILITY, 1997, 67 (03) :573-575

[8]

College National des Gynecologues et Obstetriciens Francais, 2010, REC PRAT CLIN RISQ V

[9] Adnexal Torsion during Pregnancy: Outcomes after Surgical Intervention-A Retrospective Case-Control Study [J].

Daykan, Yair ;

Bogin, Rona ;

Sharvit, Merav ;

Klein, Zvi ;

Josephy, Dana ;

Pomeranz, Meir ;

Arbib, Nissim ;

Biron-Shental, Tal ;

Schonman, Ron .

JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2019, 26 (01) :117-121

[10] Adnexal torsion in a patient with bichorial twin pregnancy in the 21st week of gestation treated by open laparoscopy: A case report [J].

Djakovic A. ;

Hönig A. ;

Groß M. ;

Dietl J. .

Archives of Gynecology and Obstetrics, 2006, 274 (4) :248-249

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