Guennoun Ahmed, Krimou Yousra, Mamouni Nisrine, Errarhay Sanaa, Bouchikhi Chahrazed, Banani Abdelaziz
Departement de Gynécologie ObstétriqueI, Hôpital Univiersitaire Hassan II, Fez, Maroc.
Pan Afr Med J. 2017 Jul 14;27:197. doi: 10.11604/pamj.2017.27.197.12250. eCollection 2017.
Normal adnexal torsion is rare during pregnancy. We here report the case of a 22-year old patient presenting with acute lateropelvic pain associated with a 2-month history amenorrhea. Exploratory laparotomy showed severe ischemia due to torsion in a normal ovary. The patient underwent adnexal detorsion without ovarian pexy. The postoperative course was uneventful. Ultrasound examination after 3 weeks showed normal pregnancy. Ovarian torsion is an emergency that should not be ignored in pregnant women with acute pelvic pain. Conservative treatment is the gold standard and proper management is necessary to avoid possible maternal and fetal complications.
正常附件扭转在孕期罕见。我们在此报告一例22岁患者,表现为急性盆腔侧方疼痛并伴有2个月闭经史。剖腹探查显示正常卵巢因扭转导致严重缺血。患者接受了附件扭转复位术,未进行卵巢固定术。术后过程顺利。3周后的超声检查显示妊娠正常。卵巢扭转是一种急症,对于有急性盆腔疼痛的孕妇不应忽视。保守治疗是金标准,恰当的处理对于避免可能的母婴并发症很有必要。