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Journals / GORM:Gynecology Obstetrics & Reproductive Medicine / 2013 / Cilt: 19 - Sayı: 3

IVF sonrası gebeliğin üçüncü trimesterinde adneksiyal torsiyon: bir olgu sunumu

Adnexal torsion in the third trimester of pregnancy after in vitro fertilization: a case report

İlker SELÇUK
GÖKHAN BOYRAZ
İbrahim ESİNLER
Pages
185–187
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

But as the gestational age increases laparotomy should be a choice because of the risk of injury to the uterus related to the enlarged volume by the fetus.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Adnexal torsion causes venous and lymphatic blockade complicated by congestion.
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Key Findings & Data:Adnexal torsion is seldom in pregnancy, occuring approximately 1 in 5000 pregnancies, more frequently in the first trimester.
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Conclusion & Impact:But as the gestational age increases laparotomy should be a choice because of the risk of injury to the uterus related to the enlarged volume by the fetus.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Adnexal torsion causes venous and lymphatic blockade complicated by congestion. Adnexal torsion is seldom in pregnancy, occuring approximately 1 in 5000 pregnancies, more frequently in the first trimester. Acute abdominal pain and abdominal disturbances are challenging issues during pregnancy for the diagnosis. The clinical symptoms are non-specific. Colour and power Doppler sonography may be useful for the early diagnosis. Adnexal torsion is generally due to ovarian stimulation treatment or ovarian masses in pregnancy. The correct diagnosis of maternal ovarian torsion might be delayed or un- derestimated in the second half of gestation because the increased dimensions of the uterus could blockade the abdominal palpation and make the sonography inefficient. Laparoscopy should be prefer- able for the adnexal torsion suspicion. But as the gestational age increases laparotomy should be a choice because of the risk of injury to the uterus related to the enlarged volume by the fetus.

Özet

Adneksiyal torsiyon venöz ve lenfatik blokaja neden olur ve konjesyon gelişir. Adneksiyal torsiyon gebelikte nadirdir ve sık- lıkla birinci trimesterda olmak üzere yaklaşık olarak her 5000 gebeliğin birinde gözlenir. Akut abdominal ağrı ve abdominal rahatsızlık gebelikte tanıyı güçleştiren durumlardır. Klinik semptomlar non-spesifiktir. Renkli doppler ultrason erken tanı için faydalı olabilir. Adneksiyal torsiyon gebelikte sıklıkla over- yan stimülasyon tedavisi veya overyan kitleler sonucunda gelişir. Uterusun artmış boyutuna bağlı olarak abdominal muaye- nenin güçleşmesi ve ultrasonun efektivitesini kaybetmesi so- nucunda gebeliğin ikinci yarısında over torsiyonu tanısı koy- mak gecikebilir veya akla gelmeyebilir. Adneksiyal torsiyon şüphesinde laparoskopi tercih edilebilir. Ancak ilerleyen ges- tasyonel hafta ile büyüyen fetusun oluşturduğu genişlemiş ute- rusa karşı gelişebilecek bir hasardan kaçınmak için laparotomi bir tercih olabilir.

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Cite This Article

SELÇUK, İ., BOYRAZ, G., ESİNLER, İ. (2013). IVF sonrası gebeliğin üçüncü trimesterinde adneksiyal torsiyon: bir olgu sunumu. GORM:Gynecology Obstetrics & Reproductive Medicine, Cilt: 19 - Sayı: 3, 185–187. https://ajindex.com/articles/204966

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