• Pan Afr Med J · Jan 2017

    Case Reports

    [Normal adnexal torsion and pregnancy: about a case].

    • Ahmed Guennoun, Yousra Krimou, Nisrine Mamouni, Sanaa Errarhay, Chahrazed Bouchikhi, and Abdelaziz Banani.
    • Departement de Gynécologie ObstétriqueI, Hôpital Univiersitaire Hassan II, Fez, Maroc.
    • Pan Afr Med J. 2017 Jan 1; 27: 197.

    AbstractNormal 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.

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