title: Isolated adnexal torsion in a 20-week spontaneous twin pregnancy.
abstract: BACKGROUND
  Adnexal torsion can be a life-threatning condition in pregnancy, while the risk of late diagnosis is increased, in second and third trimester in particular. Laparoscopy is an effective approach in diagnosis and treatment of adnexal torsion. However, entry to abdomen may be challenging in more advanced pregnancies.
  
  
  METHODS
  Herein, we report a case of adnexal torsion during 20th week of twin pregnancy, which was detorsioned laparoscopically. The woman delivered healthy infants at her 36th week of pregnancy.
  
  
  CONCLUSIONS
  Adnexal torsion as a cause of acute abdomen may be kept in mind in pregnants, even if there is no predisposing factor. Laparoscopy may be performed safely in 2nd trimester for acute abdomen.
authors.affiliation: Department of Obstetrics and Gynecology, Cerrahpasa Medical School, Istanbul University, Turkey. Electronic address: ilkerkahramanoglu@hotmail.com.
authors.forename: Ilker
authors.initials: I
authors.lastname: Kahramanoglu
authors.affiliation: Department of Obstetrics and Gynecology, Cerrahpasa Medical School, Istanbul University, Turkey.
authors.forename: Vasfiye
authors.initials: V
authors.lastname: Eroglu
authors.affiliation: Department of Obstetrics and Gynecology, Cerrahpasa Medical School, Istanbul University, Turkey.
authors.forename: Hasan
authors.initials: H
authors.lastname: Turan
authors.affiliation: Department of Obstetrics and Gynecology, Cerrahpasa Medical School, Istanbul University, Turkey.
authors.forename: Gizem
authors.initials: G
authors.lastname: Kaval
authors.affiliation: Department of Obstetrics and Gynecology, Cerrahpasa Medical School, Istanbul University, Turkey.
authors.forename: Veysel
authors.initials: V
authors.lastname: Sal
authors.affiliation: Department of Obstetrics and Gynecology, Cerrahpasa Medical School, Istanbul University, Turkey.
authors.forename: Nedim
authors.initials: N
authors.lastname: Tokgozoglu
keywords: Adnexal; Laparoscopy; Pregnancy; Torsion