Torsion of the ovary is a true gynecological emergency, and up to one-fifth of ovarian torsion occurs during pregnancy. Fertil Steril. Ovarian torsion occurs more on right side, presumably because the sigmoid colon limits the mobility of the left ovary. It commonly occurs between the 6 th and 14 th weeks of pregnancy 1. It can cause internal bleeding. [3] It is mostly associated with ovarian stimulation for in vitro fertilization (IVF) or with ovarian masses, mainly of functional origin. Urgent conditions are the first etiologies to be considered and include ectopic pregnancy, ruptured ovarian … Ovarian torsion during pregnancy is a rare condition, more common in the third trimester, and exceptional during the first trimester [1]. Ovarian Torsion Blood flow to the ovary is reduced or cut off when the weight of a cyst causes the ovary to turn over on itself one or more times (called ovarian torsion). Ovarian torsion is most common in the first trimester of pregnancy, but can happen well into the third trimester, and torsion early in pregnancy seems to increase the risk for recurrence at a later gestational age (1) . The clinical characteristics, surgical procedure, pathologic outcomes, and trimesters of pregnancy were analyzed. It can be intermittent or sustained and results in venous, arterial and lymphatic stasis. The symptoms are nonspecific, and can be confused with other acute abdominal conditions such as appendicitis, ureteral or renal colic, cholecystitis and bowel obstruction [4 … 2009 Dec. 92(6):1983-7. Ovarian torsion during pregnancy is an uncommon complication with high fetal mortality if not immediately treated. It usually occurs due to enlarged corpus luteum cyst. Similar to women of reproductive age, minus ectopic pregnancy and ovarian torsion. Acute ovarian torsion in a pregnant patient is rare and is difficult to diagnose. Infarction caused by ovarian torsion will result if the twist is not unwound spontaneously or surgically in a timely fashion. Ovarian torsion is also a medical emergency where a … Ovarian rupture and torsion . ... Pregnancy and Ovarian Cysts It’s normal to have an ovarian cyst during your first trimester of pregnancy. Like most great pretenders, ovarian torsion mimics other, more common medical emergencies, such as ruptured ovarian cysts, ectopic pregnancy and even appendicitis.A relatively rare condition, it has been detected in women of all ages and even a fetus, according to a study published in Ultrasound in Obstetrics & Gynecology and presented at the 26th World Congress on Ultrasound in … However, as demonstrated in this patient, it still may occur. An ovarian rupture is a medical emergency. n ovarian torsion in our hospital from January 2012 to June 2018. The case is described of a 28-year-old primigravida who originally presented to the emergency department with right lower abdominal pain. It is a gynecological emergency and requires urgent surgical intervention to prevent ovarian necrosis. Smorgick N, Pansky M, Feingold M, Herman A, Halperin R, Maymon R. The clinical characteristics and sonographic findings of maternal ovarian torsion in pregnancy. Ovarian torsion is a gynecologic emergency whose ultrasound features have been well described [1?? Ovarian torsion, also sometimes termed adnexal torsion or tubo-ovarian torsion, refers to rotation of the ovary and portion of the fallopian tube on the supplying vascular pedicle.. ?12].However, in women presenting with acute pelvic pain, bowel or urologic causes represent the more common causes and will often lead to CT or MRI (the latter in pregnant or young patients) as the first imaging study. Torsion of the ovary during the third trimester of pregnancy, however, is unusual because the compressive effect of the gravid uterus limits the mobility of the ovarian pedicle. In this case, the cyst arises near the left ovarian pedicle suggestive of paraovarian cyst. Thirty-three pregnant and 72 nonpregnant patients diagnosed with surgically proven ovarian torsion were assessed during the study period. Adnexal torsion during pregnancy is a rare condition.