International Journal of Academic Health and Medical Research (IJAHMR)   Year: 2024 | Volume: 8 | Issue: 3 | Page No.: 26-29 Torsion d'annexe sur grossesse en troisième trimestre à propos d'un cas Download PDF Mohamed lemine ABDI, Mouna AHARMOUCH, Yassine BELHAJ, Sofia Jayi, Fatima Zohra fdili Alaoui, Hikmat Chaara, Moulay Abdelilah Melhouf Abstract: : Ovarian cysts are in most cases asymptomatic, and may be discovered by chance during an ultrasound scan. They only become symptomatic when a complication occurs. Diagnosis of adnexal masses is becoming increasingly frequent with the routine and systematic use of ultrasound in pregnancy, especially in the first trimester as part of screening [1]. Conservative treatment is discussed in non-emergency situations; however, acute complications such as adnexal torsion (AT) require surgery or laparoscopy [2]. Adnexal torsion during pregnancy is a rare entity, occurring mainly in the first two trimesters of pregnancy (70-90%) [3, 4]. It is favoured by the ovarian hyperstimulation observed in medically assisted reproduction [5]. Some authors encourage preservation of the ovary despite its necrotic appearance, as its function is preserved in 88 to 100% of cases [6]; despite the ovary's great capacity for recovery, conservative surgery is only necessary in cases seen and treated early, which is very rarely the case in resource-poor settings [7].