Pregnancy and adnexal torsion: analysis of 20 cases.

OBJECTIVE

To study the clinical profile, management and outcome of pregnancy complicated by adnexal torsion.

METHODS

All pregnancy cases complicated by adnexal torsion admitted between January 2001 and January 2009 were analyzed.

RESULTS

The total number of pregnant cases was 20. Age range of pregnant women with adnexal torsion was 18 to 42 years. Of these cases 70% were seen in the first and second trimester. Seventy percent of cases were operated by the laparotomy route and 30% by laparoscopy. Salpingo-oophorectomy was performed in 70% of cases and detorsion in 30% of cases. Histopathologic examinations revealed five patients (25%) had serous cystadenoma, four patients (20%) mucinous cystadenoma, six patients (20%) dermoid cyst and five patients (25%) hemorrhagic cyst.

CONCLUSIONS

Adnexal torsion as a differential diagnosis of acute abdomen in pregnancy should be considered and we recommend early surgical treatment that will save the adnexa.