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Obstetric Emergency in Pregnancy: A Rare Case of Ovarian Torsion Caused by a Large Adnexal Mass in a 16-Week Pregnant Woman
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Z Asadi Kalmeh1   , SE Salehi Dehno2 , NS Rabbani3 , Z Salehpour4 |
1- Clinical Research Center of Beheshti Hospital, Yasuj University of Medical Sciences, Yasuj, Iran, , zasadik66@gmail.com
2- Department of General Surgery, Yasuj University of Medical Sciences, Yasuj, Iran
3- Student Research Committee, Yasuj University of Medical Sciences, Yasuj, Iran.
4- Clinical Research Center of Beheshti Hospital, Yasuj University of Medical Sciences, Yasuj, Iran, |
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Abstract: (1284 Views) |
Background & aim: Recently, the incidence of adnexal masses during pregnancy has increased, possibly due to delayed gestational age and advances in imaging or more frequent use of ultrasound. As a side effect, ovarian torsion can occur in less than 1% of pregnancies and is more common on the right side. The aim of the present study was to present a rare case of left ovarian torsion due to a large adnexal mass in a woman at 16 weeks of gestation.
Case report: A 32-year-old woman in her third pregnancy at 16 weeks of gestation presented to the obstetric emergency department of Imam Sajjad Hospital if Yasuj, Iran, with severe intermittent lower left abdominal pain. Ultrasonography revealed a large left ovarian cyst measuring 15 × 12 cm. Due to worsening pain and lack of response to conservative management, the patient underwent laparotomy. The ovary was found to be twisted three times; detorsion was performed, and the cyst was excised. The postoperative course was uneventful, and the pregnancy continued to term without complications.
Conclusion: Ovarian torsion is rare in pregnancy, but in the presence of large adnexal masses, it must be diagnosed and treated promptly to preserve ovarian function and ensure a safe pregnancy.
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| Keywords: Obstetrics, Pregnancy, Surgery, Ovarian torsion, Adnexal mass, Laparotomy |
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Full-Text [PDF 334 kb]
(21 Downloads)
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Type of Study: case report |
Subject:
Gynaecology
Received: 2025/01/3 | Accepted: 2025/06/1 | Published: 2025/08/5
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Asadi Kalmeh Z, Salehi Dehno S, Rabbani N, Salehpour Z. Obstetric Emergency in Pregnancy: A Rare Case of Ovarian Torsion Caused by a Large Adnexal Mass in a 16-Week Pregnant Woman. armaghanj 2025; 30 (3) :442-450 URL: http://armaghanj.yums.ac.ir/article-1-3744-en.html
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