A new type of abdominal incision for emergencies in pregnancy: a case report

Pan Afr Med J. 2020 Dec 15:37:347. doi: 10.11604/pamj.2020.37.347.23100. eCollection 2020.

Abstract

Adnexal torsion in pregnancy is a rare gynecologic emergency that causes severe abdominal pain. The current paper reports a case of a woman with 18 weeks pregnancy who was referred to our tertiary clinic with sudden lower abdominal pain. Ultrasound scan showed a very large multicystic adnexal torsion mass on the right side displacing the gravid uterus to the anterior left. An oblique paramedian incision was made for right salpingo-oophorectomy. To our knowledge the incision presented in this case has not been described in the literature previously. We suggest an alternative incision to be used during pregnancy especially for emergencies due to an adnexal mass.

Keywords: Abdominal incision; adnexal mass; case report; pregnancy.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Adnexal Diseases / diagnosis*
  • Adnexal Diseases / surgery
  • Adult
  • Emergencies
  • Female
  • Humans
  • Ovarian Torsion / diagnosis*
  • Ovarian Torsion / surgery
  • Pregnancy
  • Pregnancy Complications / diagnosis*
  • Pregnancy Complications / surgery
  • Salpingo-oophorectomy / methods
  • Ultrasonography