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Gebeliğin ilk trimesterinde akut batın; corpus luteum torsiyonu: olgu sunumu

Acute abdomen in the first trimester of pregnancy; the corpus luteum torsion: a case report

Journal Name:

  • Smyrna Tıp Dergisi

Publication Year:

  • 2012

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Adnexial torsion is a rarely diagnosed cause of acute abdominal pain in pregnancy. It is frequently difficult to diagnose cases of adnexal torsion. Clinical and laboratory findings are not specific enough for diagnosis. In pregnancy, it is a very difficult situation for clinician. In this case, we presented a 21-year-old , gravida 1, parity 0, 6 weeks pregnancy with acute abdomen. Ultrasonographic finding of the patient showed a 8x7 cm cystic mass on the right adnexal area with intracystic hemorragic appearance. The patient was operated on the progression of symptoms of acute abdomen; right salpingooferektomi was performed. Ninth postoperative day, spontaneous abortion occured. The diagnosis of ovarian torsion during pregnancy is very difficult, the operation is inevitable. Corpus luteum, the source of progesterone, is taken during oophorectomy; pregnancy is more difficult due to this situation.
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Abstract (Original Language): 
Adneksiyel torsiyon, gebelikte saptanan nadir akut karın nedenlerindendir. Adneksiyel torsiyon vakalarında tanı koymak oldukça güçtür. Klinik ve laboratuvar bulguları da tanı koymak için yeterince spesifik değildir. Gebelikte ise klinisyen için çok zor bir durumdur. Biz bu vakada 21 yaşında akut batın ile başvurmuş 6 haftalık, gravida 1, parite 0 olan bir vakayı sunuyoruz. Hastanın ultrasonografi bulgusunda sağ adneksiyel alanda kist içi hemoraji görünümü veren 8x7 cm’lik kistik kitle mevcuttu. Akut batın bulgularının ilerlemesi üzerine laparatomi ile operasyona alınan hastaya sağ salpingooferektomi uygulandı. Postoperatif 9. günde spontan abortus gerçekleşti. Gebelik sırasında over torsiyonu tanısı koymak oldukça güçtür, operasyon ise kaçınılmazdır. Gebeleğin devamı progesteron kaynağı olan corpus luteumun ooferektomi sırasında alınması nedeni ile güçleşmektedir.
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  • 1
49-51
  • Turkish

REFERENCES

References: 

1. Mancuso A, Broccio G, Angio L. Adnexal torsion in
pregnancy. Acta Obstet Gynecol Scand 1997; 76:83-
84.
2. Hibbard LT. Adnexal torsion. American Journal
of Obstetrics and Gynecology 1985; 152(4):456-461.
3. Roest J, Mous HVH, Zeilmaker GH, Verhoeff A. The
incidence of major clinical complications in a Dutch
transport IVF programme. Human Reproduction
Update 1996; 2(4):345-353.
4. Kolloru V, Gurumurthy R, Vellanki V, Gururaj D.
Torsion of ovarian cyst during pregnancy: a case
report. Cases Journal 2009; 2:9405.
Smyrna Tıp Dergisi – 51 –
5. Lang PF, Tamussino K, Winter R. Laparoscopic
management of adnexal torsion during the second
trimester. Int J Gynecol Obstet 1992; 37:51–52.
6. Morice P, Louis-Sylvestre C, Chapron C, Dubuisson
JB. Laparoscopy for adnexal torsion in pregnant
women. J Reprod Med 1997; 42:435–439.
7. Lee CH, Raman S, Sivanesaratnam V. Torsion of
ovarian tumors: a clinicopathological study. Int J
Gynaecol Obstet 1989; 28:21-25.
8. Hibbard LT. Adnexal torsion. Am J Obstet Gynecol
1985; 152:456-461.
9. Giuntoli RL, Vang RS, Bristow RE. Evaluation and
management of adnexal masses during pregnancy.
Clin Obstet Gynecol 2006; 49:492–505.
10. Hess LW, Peaceman A, O’Brien WF, Winkel CA,
Cruikshank DP, Morrison JC. Adnexal mass occurring
with intrauterine pregnancy: Report of 54 patients
requiring laparotomy for definitive management. Am
J Obstet Gynecol 1988; 158:1028-1034.
11. Yen CF, Lin SL, Murk W, Wang CJ, Lee CL, Soong
YK, Arici A. Risk analysis of torsion and
malignancy for adnexal mases during pregnancy.
Fertil Steril 2009; 91(5):1895-1902.
12. Kazez A, Ozel SK, Akpolat N, Goksu M. The
efficacy of conservative treatment for late term
ovarian torsion. Eur J Pediatr Surg 2007; 17:110–114.
13. Rabinerson D, Tohar M, Pomerantz M, Haimovich L.
Persistence of a normal pregnancy after an early

luteectomy. A report of two cases. J Reprod Med
1992; 37:749–752.
14. Gordon JD, Hopkins KL, Jeffrey RB, Giudice LC.
Adnexal torsion: Color Doppler diagnosis and
Laparoscopic treatment. Fertil Steril 1994; 61: 383–
385.
15. McGovern PG, Noah R, Koenigsberg R, Little AB.
Adnexal torsion and pulmonary embolism: Case
report and review of the literature. Obstet Gynecol
Surv 1999; 54:601–608.
16. Djavadian D, Braendle W, Jaenicle F. Laparoscopic
oophoropexy for the treatment of recurrent torsion of
the adnexa in pregnancy: Case report and review.
Fertil Steril 2004; 82:933–936.
İletişim:
Asist.Dr. Hayri Aksüt
Atatürk Eğitim Araştırma Hastanesi
Kadın Hastalıkları ve Doğum Kliniği
İzmir, Türkiye
tel: +90.232.2444444 (2335)
mail: hayriautf2009@yahoo.com

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