title: Adnexal torsion in a patient with bichorial twin pregnancy in the 21st week of gestation treated by open laparoscopy: a case report.
abstract: Adnexal torsion is a rare finding during pregnancy. Here we report a patient with bichorial twin pregnancy in the 21st week of gestation with adnexal torsion. She was admitted with acute abdominal pain. Open laparoscopy was performed and the left adnexa was unwinded successfully. The postoperative follow-up was uneventful. Adnexal torsion as differential diagnosis of acute abdomen in pregnancy should be considered seriously to avoid irreversible lesions of the ovary and (salpingo-) oophorectomy.
authors.affiliation: Department of Obstetrics and Gynecology, Universtity of Würzburg, Josef-Schneider-Str. 4, 97080 Wurzburg, Germany. adjakovic@gmx.de
authors.forename: Antonia
authors.initials: A
authors.lastname: Djakovic
authors.forename: Arnd
authors.initials: A
authors.lastname: Hönig
authors.forename: Matthias
authors.initials: M
authors.lastname: Gross
authors.forename: Johannes
authors.initials: J
authors.lastname: Dietl
mesh_terms: D000291:Adnexal Diseases / Q000473:pathology* / Q000601:surgery*; D000328:Adult; D004487:Edema; D005260:Female; D005865:Gestational Age; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D014427:Twins