Abstract :
Introduction: Torsion of the ovary is the total or partial rotation of the adnexa around its vascular axis or
pedicle. Although the exact Etiology is unknown, common predisposing factors include moderate size cyst,
free mobility and long pedicle. Torsion of ovarian tumours occurred predominantly in the reproductive age
group. The majority of the cases presented in pregnant (22.7%) than in non-pregnant (6.1%) women 3.
Case History: Here we present a case report of an ovarian torsion in 1st trimester of pregnancy.
who conceived after infertility treatment, patient underwent exploratory laparotomy using a pfannensteil
incision, Right ovarian pedicle torsion present two and a half turns, released. Right oophorectomy done.
Post-operatively patient continued the pregnancy.
Conclusion: Ovarian torsion is an urgent gynaecological surgery and can occur during pregnancy.
Diagnosis can usually be made on the basis of the characteristic clinical presentation in conjunction with
ultrasound evidence of a unilaterally enlarged adnexal mass. Treatment options are limited to surgery, either
by laparoscopy or laparotomy should be considered in the development of the adnexal torsion regardless of
the gestational age.
Keyword :
Ovarian torsion, Serous cystadenoma, Opherectomy, Pregnancy.