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Adnexal Torsion and Pregnancy: A Case Report |
Mohamed Mahmoud Emed , Ismail Alilou , Karam Mohammed Saoud, Nisrine Mamouni, Sanae Errarhay, Chahrazad Bouchikhi, Abdelaziz Banani
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Abstract:
Adnexal torsion in pregnancy is a rare entity. Acute pelvic pain during pregnancy may pose a problem of differential diagnosis. We present the case of a 40 year old patient, who consulted for acute pelvic pain with 6 months amenorrhea and who benefited from an exploratory laparotomy in favor of a torsion on an ovarian cyst. We performed a distortion of the adnexa with cystectomy. The post-operative course was unremarkable. An ultrasound check-up after one week was in favor of a still evolving pregnancy. Adnexal torsion is an emergency that should not be ignored in the presence of any acute pelvic pain in a pregnant woman. Conservative treatment is currently the gold standard and appropriate management is necessary to avoid possible maternal and fetal
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