title: Successful laparoscopic management of adnexal torsion during week 25 of a twin pregnancy.
abstract: Adnexal torsion is a rare occurrence during pregnancy. Here we present a case of adnexal torsion during the 25th week of pregnancy, which was managed laparoscopically. The woman had achieved a successful twin pregnancy after in-vitro fertilization/intracytoplasmic sperm injection. She was admitted to the emergency department with acute abdominal pain. Abdominal ultrasound with colour Doppler mapping of the intra-ovarian blood flow showed adnexal torsion. Laparoscopic management was successfully carried out.
authors.affiliation: Department of Gynecology, Catholic University of Louvain, Cliniques Universitaires St-Luc, Brussels, Belgium.
authors.forename: S
authors.initials: S
authors.lastname: Bassil
authors.forename: U
authors.initials: U
authors.lastname: Steinhart
authors.forename: J
authors.initials: J
authors.lastname: Donnez
mesh_terms: D015746:Abdominal Pain; D000291:Adnexal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D004624:Embryo Transfer; D004638:Emergency Treatment; D005260:Female; D005307:Fertilization in Vitro / Q000379:methods; D005865:Gestational Age; D006801:Humans; D010535:Laparoscopy; D008845:Microinjections; D010053:Ovary / Q000098:blood supply; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011256:Pregnancy Outcome; D011272:Pregnancy, Multiple; D014102:Torsion Abnormality; D018615:Ultrasonography, Doppler, Color