title: Ruptured ectopic pregnancy with contralateral adnexal torsion after spontaneous conception.
abstract: OBJECTIVE
  To describe a case of ruptured ectopic pregnancy and contralateral adnexal torsion after spontaneous conception.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Tertiary university medical center.
  
  
  METHODS
  A 23-year-old multiparous female with severe bilateral pelvic pain and a positive pregnancy test.
  
  
  METHODS
  Operative laparoscopy with detorsion of left adnexa, drainage of left ovarian hemorrhagic corpus luteum cyst, right salpingectomy, and dilation and curettage.
  
  
  METHODS
  Laparoscopy revealed a 5 cm hemorrhagic corpus luteum cyst of the left ovary, torsion of the left ovary and fallopian tube, and a ruptured right ampullary ectopic pregnancy.
  
  
  RESULTS
  Normal perfusion of left ovary and fallopian tube after detorsion, resolution of left ovarian hemorrhagic corpus luteum cyst, patent left fallopian tube with chromopertubation, and successful removal of ectopic pregnancy.
  
  
  CONCLUSIONS
  This is a unique case of adnexal torsion and contralateral ectopic pregnancy occurring after spontaneous conception.
authors.affiliation: Division of Reproductive Endocrinology and Infertility, The Center for Advanced Reproductive Services, University of Connecticut Health Center, Farmington, Connecticut 06030-6224, USA. diluigi@uchc.edu
authors.forename: Andrea J
authors.initials: AJ
authors.lastname: DiLuigi
authors.forename: Donald B
authors.initials: DB
authors.lastname: Maier
authors.forename: Claudio A
authors.initials: CA
authors.lastname: Benadiva
mesh_terms: D004107:Dilatation and Curettage; D004322:Drainage; D005184:Fallopian Tube Diseases / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010048:Ovarian Cysts / Q000150:complications; D010049:Ovarian Diseases / Q000150:complications* / Q000473:pathology / Q000601:surgery; D017699:Pelvic Pain / Q000209:etiology; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000473:pathology / Q000601:surgery; D012422:Rupture, Spontaneous; D014102:Torsion Abnormality / Q000150:complications* / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult