Ovarian Torsion During Pregnancy

Objective: Pregnancy creates a suitable basis for torsion of the adnexa. However, ovarian torsion in pregnancy is not a common condition. In this study, clinical and laboratory results of women who underwent surgery with the diagnosis of ovarian torsion during pregnancy were examined. Materials and Methods: Medical records of pregnant women who were operated for ovarian torsion in the obstetrics and gynecology clinics of two university hospitals between 2015-2021 were reviewed. A total of 29 pregnant patients with ovarian torsion, 19 in the first trimester and 10 in the second and third trimesters, were included in the study. Results: It was determined that eight of the pregnancies whose data were analyzed within the study were created using assisted reproductive techniques. The pregnant women were divided into two groups according to being in the first and second-third trimesters and they were compared in terms of clinical, laboratory, ultrasonographic findings and delivery methods. There was no statistically significant difference between the analyzed data of the two groups. Ovarian torsion in pregnancy is typically overlooked due to its unclear clinical and objective symptoms. Therefore, it is possible to experience a delay in diagnosing patients. This can be a life-threatening situation for the fetus and mother. Conclusion: Surgical treatment is very important for pregnant women diagnosed with ovarian torsion. There should be no delay in diagnosis and treatment. In surgical treatment, detorsioning of the torsioned ovary alone or surgical fixation of the torsioned adnexa to the surrounding tissues in addition to detorsion can be used.