OVARIAN TORSION AND OVARIOPEXY IN PREGNANCY

Year 2018, Volume: 32 Issue: 3, 269 - 274, 15.12.2018

Buğra Şahin , Gizem Cura , Fatih Çelik , Banuhan Şahin

Abstract

A patient, aged 28 years and 33
weeks of pregnancy, admitted to our center with severe left lower quadrant
pain. Ovarian torsion due to a 9 cm left ovary cyst was prediagnosed. The
patient underwent general anesthesia and was corrected for torsioned ovary,
blood was supplied, and the ovary was successfully fixed to the uterus by ovariopexy
in order to avoid recurrence of torsion. The baby was born with a cesarean
section. The patient was called to the control on the fifteenth day postop and
the blood flow was re-evaluated by doppler ultrasonography. Although antepartum
surgery is considered safe, abdominal surgery carries some risks for a pregnant
woman and the fetus. Therefore, the clinical decision should be made according
to the characteristics of the adnexal mass, the pregnancy week, pregnancy
expectancy and reperfusion of the ovary.

Keywords

Ovarian torsion, ovariopexy, pregnancy

Gebelikte over torsiyonu ve ovaryopeksi

Abstract

Yirmi sekiz yaşında, gebeliğinin 33.
haftasında olan bir hasta merkezimize ciddi sol alt kadran ağrısı ile başvurdu.
Dokuz cm boyutundaki sol over kistine bağlı over torsiyonu ön tanısı kondu. Genel
anestezi altında torsiyone over düzeltilerek kanlanması sağlandı ve tekrardan
torsiyone olmaması için ovaryopeksi operasyonu ile over uterusa sabitlendi.
Bebek sezaryen ile doğurtuldu. Hasta, post op on beşinci gününde kontrole
çağrıldı ve dopler ultrasonografi ile over kan akımı yeniden değerlendirildi.
Antepartum cerrahi müdahale güvenli kabul edildiği halde, abdominal cerrahi gebe
bir kadın ve fetus için bazı riskler taşır. Bu yüzden klinik karar, adneksiyal
kitlenin karakteri, gebelik haftası, gebelik beklentisi ve overin tekrar
kanlanmasına göre verilmelidir.

Keywords

Over torsiyonu, ovaryopeksi, gebelik

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