Ovarian torsion in a twin pregnancy at 32 weeks and 6 days: A case-report

Oriane Bernigaud (1) , Eloise Fraison (1) , Gabriel Thiberville (1) , Gery Lamblin (2)

1 HFME - Hôpital Femme Mère Enfant [CHU - HCL]
2 LBMC UMR T9406 - Laboratoire de Biomécanique et Mécanique des Chocs

BACKGROUND: Ovarian torsion during pregnancy is a rare event and occurs mostly during the first trimester. This is the first case describing the diagnosis and management of an ovarian torsion at 33 weeks in a twin pregnancy with a normal term delivery. CASE SUMMARY: The patient presented with irregular uterine contraction due to an acute abdominal pain in the right iliac fossa. A cyst was discovered during the ultrasound scan on the right ovary and a torsion was highly suspected. A small laparotomy facing the ovarian mass after an ultrasound guidance was chosen. The patient finally delivered at 37 weeks. CONCLUSION: The clinic holds a preponderant place in the diagnosis of ovarian torsion. Our surgical approach by laparotomy under ultrasound guidance was less risky than by laparoscopy.

Keywords: ABDOMINAL PAIN; CASE REPORT; HUMANS; MINI LAPAROTOMY; OVARIAN NEOPLASMS; OVARIAN TORSION; PREGNANCY; PREGNANCY TRIMESTER; THIRD; TWIN; TERATOMA; THIRD TRIMESTER; X-RAY COMPUTED; TWIN PREGNANCY; ULTRASONOGRAPHY; ULTRASOUND GUIDANCE

Keywords: ADULTE; FEMME; TOMOGRAPHIE

Domains: Gynecology and obstetrics

Oriane Bernigaud, Eloise Fraison, Gabriel Thiberville, Gery Lamblin. Ovarian torsion in a twin pregnancy at 32 weeks and 6 days: A case-report. Journal of Gynecology Obstetrics and Human Reproduction, 2021, 50 (6), 5p. ⟨10.1016/j.jogoh.2021.102117⟩. ⟨hal-03554707⟩