, Volume 10, Issue 2, pp 151-153
Date: 09 Nov 2012

Laparoscopic salpingo-oophorectomy for ovarian torsion in the third trimester

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Introduction

Ovarian torsion is uncommon in pregnancy, with incidence estimated between 1 and 10 per 10,000 pregnancies [13]. Furthermore, available case series estimate that ovarian torsion presents in the third trimester (i.e., after 28-weeks gestation) in 0–22 % of cases [2, 4, 5]. In contrast to those who present in the first two trimesters, patients who present with concern for ovarian torsion in the third trimester may be more likely to undergo laparotomy rather than laparoscopy due to limited exposure allowed by the gravid uterus. [6] Upon literature review, we were able to identify only one report of laparoscopic salpingo-oophorectomy in the third trimester, though the details of the procedure were not provided [7]. We also identified case reports of third-trimester ovarian [8] and tubal [9] torsion treated laparoscopically without removal of adnexal structures. We herein report in detail and discuss a successful laparoscopic left salpingo-oophorectomy for ovarian torsion prese