Kahramanoglu Ilker, Eroglu Vasfiye, Turan Hasan, Kaval Gizem, Sal Veysel, Tokgozoglu Nedim
Department of Obstetrics and Gynecology, Cerrahpasa Medical School, Istanbul University, Turkey.
Department of Obstetrics and Gynecology, Cerrahpasa Medical School, Istanbul University, Turkey.
Int J Surg Case Rep. 2016;23:138-40. doi: 10.1016/j.ijscr.2016.04.029. Epub 2016 Apr 20.
Adnexal torsion can be a life-threatning condition in pregnancy, while the risk of late diagnosis is increased, in second and third trimester in particular. Laparoscopy is an effective approach in diagnosis and treatment of adnexal torsion. However, entry to abdomen may be challenging in more advanced pregnancies.
Herein, we report a case of adnexal torsion during 20th week of twin pregnancy, which was detorsioned laparoscopically. The woman delivered healthy infants at her 36th week of pregnancy.
Adnexal torsion as a cause of acute abdomen may be kept in mind in pregnants, even if there is no predisposing factor. Laparoscopy may be performed safely in 2nd trimester for acute abdomen.
附件扭转在妊娠期间可能是一种危及生命的情况，尤其是在妊娠中期和晚期，延迟诊断的风险会增加。腹腔镜检查是诊断和治疗附件扭转的有效方法。然而，对于孕周较大的孕妇，进入腹腔可能具有挑战性。
在此，我们报告一例双胎妊娠20周时发生附件扭转的病例，该病例通过腹腔镜进行了扭转复位。该女性在妊娠36周时分娩出健康婴儿。
即使没有诱发因素，孕妇也可能发生附件扭转作为急腹症的病因。对于急腹症，在妊娠中期可以安全地进行腹腔镜检查。
