Successful laparoscopy Management of A 20-cm Mass Causing 1260 Degrees Rotation of Adnexa in the First Trimester of Pregnancy: A Case Report

Shahla Noori Ardebili; Samaneh Chegeni; Malihe Arab; Ali Mehrafshar

doi:10.18502/crcp.v6i6.9166

Shahla Noori Ardebili Department of Gynecology, Atieh Hospital, Tehran, Iran
Samaneh Chegeni Department of Genetics, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, Academic Center for Education, Culture and Research, Tehran, Iran.
Malihe Arab Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Ali Mehrafshar School of Medicine, Zhejiang University, Hangzhou, China.

DOI: https://doi.org/10.18502/crcp.v6i6.9166

Keywords: Adnexal torsion; Ovarian cyst; Pregnancy; Laparoscopy

Abstract

Diagnosing and managing pelvic pain during pregnancy is often challenging. This pain can be obstetrical, gynecological, or non-obstetrical_non-gynecological. Ovarian torsion, recognized as the consequence of ovarian twisting on its supporting ligaments, causes gynecological pelvic pain. It can occur during pregnancy and cause emergencies. However, early detection can preserve the ovaries and maintain the patient’s current and future fertility. Surgery is the gold standard for the diagnosis and treatment of ovarian torsion. Choosing the best surgical technique (laparoscopy or laparotomy) is essential to reduce possible complications during and after surgery. Our case is a 7-8 weeks’ pregnant woman who underwent laparoscopic surgery with an ovarian mass of 85×152 mm and an acute abdomen. It was found that the mass has caused a 1260-degree rotation in the patient’s left adnexa. The results during and after surgery and the condition of the mother and baby were favorable.