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Human Reproduction, Vol. 14, No. 3, 855-857, March 1999
© 1999 European Society of Human Reproduction and Embryology

Case Report: Successful laparoscopic management of adnexal torsion during week 25 of a twin pregnancy

Salim Bassil, Ulrich Steinhart and Jacques Donnez1

Department of Gynecology, Catholic University of Louvain, Cliniques Universitaires St-Luc, avenue Hippocrate 10,1200 Brussels, Belgium

Adnexal torsion is a rare occurrence during pregnancy. Here we present a case of adnexal torsion during the 25th week of pregnancy, which was managed laparoscopically. The woman had achieved a successful twin pregnancy after in-vitro fertilization/intracytoplasmic sperm injection. She was admitted to the emergency department with acute abdominal pain. Abdominal ultrasound with colour Doppler mapping of the intra-ovarian blood flow showed adnexal torsion. Laparoscopic management was successfully carried out.

Key words: adnexal torsion/colour Doppler/laparoscopy/twin pregnancy

1 To whom correspondence should be addressed at: Department of Gynaecology, In Vitro Fertilization Unit, University Clinics St-Luc, Avenue Hippocrate 10, 1200 Brussels, Belgium


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