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Mathew M

Dr, Department of Obstetrics and Gynecology, Sultan Qaboos University, Hospital, Al Khoud, Muscat, Oman


  • Case Report   
    Conservative Management of Twisted Ischemic Adnexa in Early Pregnancy
    Author(s): Mathew M*, Mubarak SA and Jesrani SK

    Diagnosis of adnexal torsion can be difficult, especially during pregnancy. Delay in diagnosis can lead to necrosis and loss of the affected ovary compromising the reproductive capacity, especially in young women. A 22‑year‑old primigravida presented to the emergency room at 10 weeks of gestation with acute onset left iliac fossa pain. Ultrasound examination showed a live intra‑uterine gestation of 10 weeks, enlarged and edematous left ovary with a clear cyst of 76 mm × 63 mm with flow to the ovary. She underwent emergency surgery with a provisional diagnosis of torsion of left adnexa. Mini‑laparotomy, detorsion of the twisted adnexa and ovarian cystectomy with reconstruction was performed thus conserving the tube and ovary. The pregnancy progressed normally; follow‑up ultrasound scans showed normal functioning ovaries. Clinical .. Read More»

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Annals of Medical and Health Sciences Research The Annals of Medical and Health Sciences Research is a bi-monthly multidisciplinary medical journal.
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