Adnexal torsion during pregnancy is a rare surgical emergency.
The diagnosis of certainty of adnexal torsion can only be made intraoperatively.
In the absence of any contraindication, laparoscopy should be the preferred approach.
Ovariopexy is proposed by certain authors in order to prevent recurrence.
Adnexal torsion during pregnancy is a rare surgical emergency. We present the case of a 28 year old patient, who consulted for acute pelvic pain during an evolving pregnancy of 14 weeks, in front of the clinic and the para-clinical exploration we suspected an adnexal torsion on a cyst of 7 cm for which a laparotomy was indicated in urgency to avoid the necrosis of the adnexa whose exploration came back in favor of a torsion on an ovary with a cyst. We performed a detorsion of the adnexa with a negative ovarian puncture, without ovariopexy. The postoperative follow-up was without particularity. The diagnosis of adnexal torsion remains difficult, especially in the presence of a healthy adnexa. The diagnosis of adnexal torsion remains difficult, especially in the presence of a healthy adnexa. The detorsion of the adnexa, ovariopexy, should not be systematic.
Keywords: Adnexal torsion; Cyst; Ovariopexy; Pregnancy.