Ruptured ectopic pregnancy with contralateral adnexal torsion after spontaneous conception.
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.
DiLuigi
Andrea J
AJ
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
Maier
Donald B
DB
Benadiva
Claudio A
CA
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