JCOGP
Journal of Controversies in Obstetrics & Gynecology and Pediatrics

As of January 2023, our "Journal of Controversies Obstetrics & Gynecology and Pediatrics" has been published under the Medihealth Academy to publish all articles, reviews and case reports on Pediatrics, especially in the field of Obstetrics and Gynecology. In order to facilitate the citation of the articles, to take our place in internationally respected indexes and to reach a wider readership, we will pay attention to the fact that our article language is only English in terms of acceptance.

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Case Report
Laparoscopic management of adnexal torsion during pregnancy
Abstract
Acute pelvic pain during pregnancy presents a diagnostic challenge because of its broad differential diagnosis and pregnancyspecific considerations. Adnexal torsion is an uncommon but clinically significant gynecological emergency, and its occurrence during the second trimester is particularly rare. Delayed diagnosis may result in irreversible ischemic damage, loss of ovarian function, and potential adverse maternal–fetal outcomes. We report the clinical course and laparoscopic management of adnexal torsion in an 18-week pregnant patient presenting with acute abdomen. Diagnostic laparoscopy revealed right adnexal torsion with five complete twists around the vascular pedicle. Laparoscopic detorsion was successfully performed, followed by adnexal fixation to the right lateral abdominal wall to reduce the risk of recurrence. Restoration of ovarian perfusion was observed intraoperatively. No maternal or fetal complications occurred during the postoperative follow-up. This case highlights the feasibility and safety of a fertility-preserving laparoscopic approach for adnexal torsion during the second trimester of pregnancy.

Keywords : Adnexal torsion, pregnancy, second trimester, acute pelvic pain, laparoscopy

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Article available in :
Volume 4, Issue 1, 2026
Page : 19-21
https://doi.org/10.51271/JCOGP-0067
Article Information
Received : 02 Oca 2026
Accepted : 28 Oca 2026
Published : 31 Oca 2026
Corresponding Author :

Cavide Ali: Department of Obstetrics and Gynecology, Acıbadem Kadıköy Şinasi Can Hospital, İstanbul, Turkiye

[email protected]
Citation : Ali C, Albayrak Kaya Y, Sürecek MC. Laparoscopic management of adnexal torsion during pregnancy. J Controv Obstetr Gynecol Ped. 2026;4(1):19-21.

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