32 周 6 天的双胞胎妊娠合并卵巢扭转：病例报告。
Ovarian torsion in a twin pregnancy at 32 weeks and 6 days: A case-report.
机构信息
Department of Obstetrics and Gynecology, CHU Lyon, Hôpital Femme Mère Enfant, 59 Bd Pinel, 69500, Bron, France.
Department of Obstetrics and Gynecology, CHU Lyon, Hôpital Femme Mère Enfant, 59 Bd Pinel, 69500, Bron, France; Department of Reproductive Medicine, CHU Lyon, Hôpital Femme Mère Enfant, 59 Bd Pinel, 69500, Bron, France.
出版信息
J Gynecol Obstet Hum Reprod. 2021 Jun;50(6):102117. doi: 10.1016/j.jogoh.2021.102117. Epub 2021 Mar 15.
BACKGROUND
Ovarian torsion during pregnancy is a rare event and occurs mostly during the first trimester. This is the first case describing the diagnosis and management of an ovarian torsion at 33 weeks in a twin pregnancy with a normal term delivery.
CASE SUMMARY
The patient presented with irregular uterine contraction due to an acute abdominal pain in the right iliac fossa. A cyst was discovered during the ultrasound scan on the right ovary and a torsion was highly suspected. A small laparotomy facing the ovarian mass after an ultrasound guidance was chosen. The patient finally delivered at 37 weeks.
CONCLUSION
The clinic holds a preponderant place in the diagnosis of ovarian torsion. Our surgical approach by laparotomy under ultrasound guidance was less risky than by laparoscopy.
背景
妊娠合并卵巢扭转较为罕见，多发生于妊娠早期。本文首次报道了一例孕 33 周、双胎妊娠、足月分娩的卵巢扭转病例，描述了其诊断和治疗经过。
病例总结
患者因右髂窝急性腹痛就诊，诉不规则宫缩。超声检查发现右侧卵巢有一囊肿，高度怀疑卵巢扭转。在超声引导下选择小切口开腹处理卵巢肿物。患者最终于孕 37 周分娩。
结论
临床在卵巢扭转的诊断中起主导作用。我们选择超声引导下开腹手术的方法比腹腔镜手术风险更小。
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