Vignesh Durai¹ and Papa Dasari²

¹Senior Resident, Department of OBGY, JIPMER, Puducherry, India
²Professor, Department of OBGY, JIPMER, Puducherry, India

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

Received: April 22, 2024; Published: June 22, 2024

Abstract

A 26 year old young primigravid woman who was known to have an ovarian cyst of 12 x 8 cm during her first trimester presented to our emergency obstetric services at 26+5 weeks period of gestation as acute abdomen. She was treated with analgesics and intravenous fluids for three days and discharged as symptoms reduced. But she was readmitted again after three days of discharge with pain localised to the right iliac fossa and two episodes of vomiting. She was evaluated by USG and MRI, diagnosed provisionally as a torsion ovarian cyst and emergency laparotomy was undertaken. A 10 x 8 cm right-sided haematosalphinx has undergone torsion twice in the clockwise direction and was excised. She was treated with tocolytics, progesterones and antibiotics peri-operatively and had regular antenatal care. She was diagnosed to have mild features of IHCP and underwent induction of labour 38+5 weeks gestation and was delivered by vacuum extraction because of fetal distress.

Keywords: Pregnancy; Acute Recurrent Pain Abdomen; Haematosalphinx; Torsion

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Citation

Citation: Vignesh Durai and Papa Dasari. “Torsion Haematosalphinx During the Second Trimester of Pregnancy - A Rare Cause of Acute Abdomen".Acta Scientific Women's Health 6.7 (2024): 13-17.

Copyright

Copyright: © 2024 Vignesh Durai and 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.