Volume 5, Issue 2 (2020)                   SJMR 2020, 5(2): 95-98 | Back to browse issues page

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Rasekhi Kumle M, Zaemi Yeke M A. Co-occurrence of Left Ovarian Torsion and Right Fallopian Tube Ectopic Pregnancy in One Patient: A Case Report. SJMR. 2020; 5 (2) :95-98
URL: http://saremjrm.com/article-1-134-en.html
1- Sarem Fertility & Infertility Research Center (SAFIR), Sarem Women’s Hospital, Iran University of Medical Science (IUMS), Tehran, Iran.
2- Iran University of Medical Sciences (IUMS), Tehran, Iran
Abstract:   (363 Views)
Introduction: Ectopic pregnancy and ovarian torsion are both gynecological emergencies. The diagnosis of ovarian torsion is based on clinical signs, and ultrasound is helpful in only 50 to 75% of cases. The incidence of ovarian torsion during pregnancy and due to luteal cysts of pregnancy is 25-30%. The presence of these cysts during ectopic pregnancy can cause torsion, and the coexistence of ectopic pregnancy and torsion makes diagnosis difficult.
Case Presentation: The reported case is a 32-year-old woman who was referred to Sarem's Women Hospital (Tehran, Iran) with acute abdominal pain and was admitted to suspicion of ectopic pregnancy due to a positive pregnancy test. Hours after admission, the patient developed severe nausea and vomiting and exacerbated intermittent abdominal pain, and underwent emergency laparoscopic surgery with a diagnosis of ovarian torsion. During the laparoscopic evaluation, in addition to left ovarian torsion, an ectopic pregnancy was seen in the right fallopian tube and the patient underwent the necessary treatments.
Conclusion: In medicine, the diagnosis of diseases is based on the patient's clinical signs and symptoms, and paraclinical methods can only help in the diagnosis. Also, the treating physician and especially the surgeon must be aware of the presence of concomitant pathologies in the patient in order to be able to completely treat her/him. Simultaneous ectopic pregnancy and ovarian torsion are rare but do occur. Therefore, early diagnosis is important to maintain future fertility and the ovaries, which can prevent unwanted complications in these patients with appropriate treatment.
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Article Type: Case Report | Subject: Reproduction
Received: 2019/01/12 | Accepted: 2021/06/10 | Published: 2021/06/10

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