Markova D, Milchev N, Gurova A, Batashki I
Akush Ginekol (Sofiia). 2009;48(6):59-61.
Adnexial torsion is a rare, but important cause for abdominal pain during pregnancy. During pregnancy, its frequency is 10-20%, with highest frequency in the first trimester. We present a case of 24 year primigravida, with an acute onset of clinical symptoms with concominant disease chronic pyelonephritis. The initial diagnosis was exacerbation of the concominant disease and acute inflammation of the appendix. The intraoperative diagnosis was right adnexial torsion and inflammation of the appendix; the diagnosis was pathologically proved. Although rare, it can be included in the differential diagnosis of acute abdomen during pregnancy.
附件扭转是孕期腹痛的一个罕见但重要的原因。孕期其发生率为10% - 20%，在孕早期发生率最高。我们报告一例24岁初产妇，临床症状急性发作，同时患有慢性肾盂肾炎。最初诊断为合并疾病加重及阑尾炎急性炎症。术中诊断为右侧附件扭转及阑尾炎；病理诊断得以证实。尽管罕见，但它可纳入孕期急腹症的鉴别诊断。
