Ovarian pregnancy torsion
Pan, H-Shan.; Huang, L-Wen.; Lee, C-Yi.; Hwang, J-Loung.; Chang, J-Zen.
Archives of Gynecology and Obstetrics 270(2): 119-121
2004
ISSN/ISBN: 0932-0067 PMID: 14997324 DOI: 10.1007/s00404-002-0407-3Document Number: 261279
Ovarian-cyst torsion is often seen in early pregnancy due to progesterone stimulation. It is the fifth-most-common gynecological emergency, with a reported incidence of 3%. An ectopic pregnancy implanted in the ovary is rare, occurring in only 0.5-1% of such pregnancies. We presented a case of ovarian pregnancy with concomitant ipsilateral side tubal torsion managed by laparoscopy. Varying density distribution in the ovary can predispose to ovarian torsion. Emergency surgery may offer the possibility of avoiding the ablation of functional ovarian tissue. Early detection and prompt management can preserve fertility and ovarian function. The etiology, presenting syndrome and management are discussed.
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