Abstract

MAITA, Freddy et al. Adnexal torsion in pregnancy: clinical experience of conservative management . Gac Med Bol [online]. 2020, vol.43, n.1, pp.07-12. ISSN 1012-2966.

The adnexal masses in pregnancy range from 2% to 10%; the adnexal torsion is a rare cause of acute abdomen during pregnancy. Surgical management traditionally involved adnexectomy without detorsion of the compromised structure; recently conservative surgery was proposed which consists in detorsion and conservation of the affected annex. Objective: to describe the value of ultrasound guided fine needle puncture and aspiration as the initially treatment in pedicle torsion of adnexal cyst during pregnancy. Methods: prospective observational study of 9 patients that had the diagnosis of pedicle torsion of adnexal cyst during pregnancy who underwent ultrasound guided fine needle aspiration as a treatment of the adnexal cyst torsion between 2014 and 2019. Results: in all cases it was possible to save the compromised structure; in two cases we observed recurrence of the cyst, that was subsequently removed during a caesarean section in both cases; in the rest of the patient’s resolution was complete. Spontaneous abortion was seen in one of the patients, this event was not related to the invasive procedure. Conclusion: ultrasound guided fine needle aspiration of an adnexal who has suffered of pedicle torsion seems to be a good alternative for the management of this acute condition.

Keywords : adnexal torsion; pregnancy; conservative management.

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