A Rare Case Managed with Misdiagnosis in Third Trimester of Pregnancy: Ovarian Torsion

Abstract

Ovarian torsion (OT) is one of the real gynecological emergencies. Up to one-fifth of OT cases develop during pregnancy. Although it is seen especially in the first trimester, it can also develop in the third trimester. OT in the third trimester of pregnancy is a rare condition that can lead to midline laparotomy and birth of a preterm baby with caesarean section (CS). It is associated with nonspecific symptoms such as lower abdominal pain, nausea and vomiting in pregnancies and is often misdiagnosed as appendicitis or preterm labor. A case of acute abdomen resulting from OT at the right ovary, in the third trimester of pregnancy described. The importance of prompt action in the case of OT is emphasized to achive success in their management for both mother and fetus. We aimed to emphasize the importance of evaluating the adnexa when performing obstetric ultrasonography, together with the diagnosis and management of OT in pregnancy.