Adnexal torsion in pregnancy: Relying on a six-year hospital experience in solving this problem

DOISerbia - Adnexal torsion in pregnancy: Relying on a six-year hospital experience in solving this problem - Maglić, Dragana; Džatić-Smiljković, Olivera; Mandić, Milica; Srbinović, Ljubomir; Maglić, Rastko Adnexal torsion in pregnancy: Relying on a six-year hospital experience in solving this problem Maglić Dragana (Narodni Front Clinic of Obstetrics and Gynecology, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, Serbia) Džatić-Smiljković Olivera (Narodni Front Clinic of Obstetrics and Gynecology, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, Serbia) Mandić Milica (University of Belgrade, Faculty of Medicine, Belgrade, Serbia) Srbinović Ljubomir (University of Belgrade, Faculty of Medicine, Belgrade, Serbia) Maglić Rastko (Narodni Front Clinic of Obstetrics and Gynecology, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, Serbia), [email protected] Introduction. Adnexal torsion is a serious complication in pregnancy that can lead to ovarian ischemia and necrosis. This retrospective study aimed to provide clinically driven guidelines for treatment of adnexal torsion during pregnancy. Case report. We analyzed data from 10 patients who underwent surgery for adnexal torsion between 2018 and 2023. The most common symptoms were pelvic pain, nausea, and vomiting. Laparoscopy and laparotomy were equally performed, with the choice depending on factors like trimester and tumor size. Unfortunately, adnexectomy was the most common surgery due to delayed presentation and advanced necrosis. Despite this, pregnancy outcomes were favorable, with most patients delivering live babies. Discussion. The most frequent adnexal tumor in pregnancy is the corpus luteum cyst. Several studies suggest laparoscopic management of adnexal torsion in pregnancy with excellent maternal and fetal outcomes. 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