ADNEXAL TORSION IN 7-8 WEEKS PREGNANCY
https://doi.org/10.25207/1608-6228-2017-24-4-191-194
Abstract
Aim. Evaluation of clinico-laboratorial and sonographic signs of adnexal torsion.
Materials and methods. Follow-up of the patient in the Perinatal Center of the Regional Clinical Hospital No. 2; ultrasound performed on Medison and Voluson E6; laparoscopy performed with the use of endoscopic devices KARL STORZ.
Results. Left adnexal torsion was seen on ultrasound while the patient with a gestation period of 7-8 weeks was in the hospital. The main sonographic criteria for dynamic examination were: ovarian displacement and enlargement, changes in its echostructure, paraovarian cyst adherent to it, lack of blood flow in the ovary, and increasing hydroperitoneum. The 192 diagnosis was verified with laparoscopy and histological examination. Laparoscopic adnexectomy was performed. The postoperative period was unremarkable. Pregnancy progresses without complications.
Conclusion. In the absence of convincing clinico-laboratorial, instrumental data indicative of adnexal torsion and an absolute indication for laparoscopy, ultrasound is necessary in dynamics. The above signs make possible to diagnose the adnexal torsion. Laparoscopy carried out in early pregnancy does not cause any complications in carrying of a pregnancy now.
About the Authors
E. E. Korchagina
State Budgetary Healthcare Institution "Regional Clinical Hospital No. 2" of the Ministry of Healthcare of Krasnodar Krai
Russian Federation
Russian Federation
Perinatal Center, Prenatal Diagnostic Center, Gynecological Department
Krasnyh Partizan str., 6, building 2, Krasnodar, 350012
T. A. Anikina
State Budgetary Healthcare Institution "Regional Clinical Hospital No. 2" of the Ministry of Healthcare of Krasnodar Krai
Russian Federation
Russian Federation
Perinatal Center, Prenatal Diagnostic Center, Gynecological Department
Krasnyh Partizan str., 6, building 2, Krasnodar, 350012
E. P. Gevorkyan
State Budgetary Healthcare Institution "Regional Clinical Hospital No. 2" of the Ministry of Healthcare of Krasnodar Krai
Russian Federation
Russian Federation
Perinatal Center, Prenatal Diagnostic Center, Gynecological Department
Corresponding author: Elena P. Gevorkyan
Krasnyh Partizan str., 6, building 2, Krasnodar, 350012; tel.: 8(918)440-43-27
O. A. Rudeeva
State Budgetary Healthcare Institution "Regional Clinical Hospital No. 2" of the Ministry of Healthcare of Krasnodar Krai
Russian Federation
Russian Federation
Perinatal Center, Prenatal Diagnostic Center, Gynecological Department
Krasnyh Partizan str., 6, building 2, Krasnodar, 350012
V. A. Novikova
Kuban State Medical University of the Ministry of Healthcare of the Russian Federation
Russian Federation
Department of Obstetrics, Gynecology and Perinatology of the Faculty of Advanced Studies and Professional Retraining
Russian Federation
Department of Obstetrics, Gynecology and Perinatology of the Faculty of Advanced Studies and Professional Retraining
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Review
For citations:
Korchagina E.E., Anikina T.A., Gevorkyan E.P., Rudeeva O.A., Novikova V.A. ADNEXAL TORSION IN 7-8 WEEKS PREGNANCY. Kuban Scientific Medical Bulletin. 2017;(4):191-194. (In Russ.) https://doi.org/10.25207/1608-6228-2017-24-4-191-194
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