An Intrauterine Pregnancy with Tubo-ovarian Torsion mimicking Ruptured Tubal Ectopic Pregnancy

Abstract

ABSTRACT Aims and objectives Adnexal torsion is a rare gynecological emergency that requires an early surgical intervention to save the adnexa from irreversible damage. Our study is about the clinical presentation and management of adnexal torsion in a pregnant woman in a tertiary care center. Materials and methods This case study was done in a pregnant woman who came with adnexal torsion in the first trimester in the labor room of Government Medical College and Patiala, Punjab, India. Results Torsion ovarian cyst is found in 5 per 10,000 women in pregnancy. The woman was suspected of having heterotopic pregnancy (an intrauterine pregnancy with ruptured tubal ectopic pregnancy). However, she was diagnosed as intrauterine pregnancy with adnexal torsion during laparotomy. Conclusion Adnexal torsion is a rare emergency, which requires a high index of clinical suspicion for diagnosis as the symptoms are nonspecific. Imaging helps in diagnosis, but most of them are diagnosed intraoperatively. Diagnosis is made clinically along with imaging modalities. Ultrasound with color Doppler is the most commonly used imaging modality. An early surgical intervention helps in salvaging the adnexa and prevents further complications. How to cite this article Kaur N, Kaur K, Saini S. An Intrauterine Pregnancy with Tubo-ovarian Torsion mimicking Ruptured Tubal Ectopic Pregnancy. J South Asian Feder Obst Gynae 2017;9(1):56-59.