Two cases of adnexal torsion during the third trimester of pregnant women.

Kil, Ki Cheol; Yun, Joo Hee; Park, Dong Chun; Kwon, Dong Jin; Yoo, Yong Ok; Kim, Dae Hoon; Lee, Gui SeRa

Case Report

Korean Journal of Obstetrics & Gynecology 2006;49(5):1119-1124.
Published online May 1, 2006.

Two cases of adnexal torsion during the third trimester of pregnant women.

Ki Cheol Kil, Joo Hee Yun, Dong Chun Park, Dong Jin Kwon, Yong Ok Yoo, Dae Hoon Kim, Gui SeRa Lee

Department of Obstetric and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Korea. leegsr@catholic.ac.kr

Abstract

Adnexal torsion during pregnancy is rare condition that is infrequently diagnosed preoperatively. Its incidence is 1 in 5000 during pregnancy, and adnexal torsion in the third trimester is rare. We present two cases of an adnexal torsion during the third trimester. The one had not been previously diagnosed by ultrasound and was associated with fetal distress and the other had been diagnosed having an ovary cyst by ultrasound in the first trimester. Both of patients were sent to our emergency room for sudden onset of severe low abdominal pain. Treatment was maintenance of adequate circulating intravascular volume and rapid surgical intervention.

Key Words: Ovary cyst, Torsion, Third trimester