Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Case Report Volume 4 Issue 8

Torsion Ovarian Cyst with Impending Rupture During Early Pregnancy and Outcome of Laparoscopic Management

Papa Dasari*

Senior Professor, Department of OBGY, JIPMER, Puducherry, India

*Corresponding Author: Papa Dasari, Senior Professor, Department of OBGY, JIPMER, Puducherry, India.

Received: July 11, 2022; Published: July 27, 2022

Abstract

A young primigravida at 10+4 weeks of gestation suffered from acute onset of pain abdomen of 4 days duration with vomiting. She was suspected to have torsion Ovarian cyst with pregnancy and undergone USG elsewhere which showed free fluid in abdomen and an echogenic adnexal mass along with intrauterine pregnancy and hence she was referred to our tertiary care Institute. After 12 hours of admission, she developed tachycardia and hypotension and had guarding and rigidity of abdomen. Abdominal USG showed left sided complex adnexal mass with absent arterial blood flow on Doppler. Live Intrauterine pregnancy corresponded to 9+2 weeks. Emergency Laparoscopy showed impending rupture of Ovarian mass which was edematous and bluish black with breach in the capsule and there was hemorrhagic fluid in pelvis. Detorsion was done successfully gently and cystectomy was deferred as it appeared very friable. Pregnancy support was given with vaginal progesterone and she was discharged after 5 days. She was followed up by teleconsultation due to COVID pandemic and she was admitted at 38 weeks with PROM and delivered an alive healthy male baby without any congenital malformations which weighed 2.8 kg.

Keywords: First Trimester; Pain Abdomen; Adnexal Mass; Torsion; Laparoscopy

References

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Citation

Citation: Papa Dasari. “Torsion Ovarian Cyst with Impending Rupture During Early Pregnancy and Outcome of Laparoscopic Management". Acta Scientific Women's Health 4.8 (2022): 64-67.

Copyright

Copyright: © 2022 Papa Dasari. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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