Healthy adnexal torsion in pregnancy: A case report.

Abstract

Adnexal torsion during pregnancy is a rare surgical emergency. We present the case of a 28 year old patient, who consulted for acute pelvic pain during an evolving pregnancy of 14 weeks, in front of the clinic and the para-clinical exploration we suspected an adnexal torsion on a cyst of 7 cm for which a laparotomy was indicated in urgency to avoid the necrosis of the adnexa whose exploration came back in favor of a torsion on an ovary with a cyst. We performed a detorsion of the adnexa with a negative ovarian puncture, without ovariopexy. The postoperative follow-up was without particularity. The diagnosis of adnexal torsion remains difficult, especially in the presence of a healthy adnexa. The diagnosis of adnexal torsion remains difficult, especially in the presence of a healthy adnexa. The detorsion of the adnexa, ovariopexy, should not be systematic. • Adnexal torsion during pregnancy is a rare surgical emergency. • The diagnosis of certainty of adnexal torsion can only be made intraoperatively. • In the absence of any contraindication, laparoscopy should be the preferred approach. • Ovariopexy is proposed by certain authors in order to prevent recurrence.