Buğra ŞAHİN, Gizem CURA, Fatih ÇELİK, Banuhan ŞAHİN

Gebelikte over torsiyonu ve ovaryopeksi

Yirmi sekiz yaşında, gebeliğinin 33. haftasında olan bir hasta merkezimize ciddi sol alt kadran ağrısı ile başvurdu. Dokuz cm boyutundaki sol over kistine bağlı over torsiyonu ön tanısı kondu. Genel anestezi altında torsiyone over düzeltilerek kanlanması sağlandı ve tekrardan torsiyone olmaması için ovaryopeksi operasyonu ile over uterusa sabitlendi. Bebek sezaryen ile doğurtuldu. Hasta, post op on beşinci gününde kontrole çağrıldı ve dopler ultrasonografi ile over kan akımı yeniden değerlendirildi. Antepartum cerrahi müdahale güvenli kabul edildiği halde, abdominal cerrahi gebe bir kadın ve fetus için bazı riskler taşır. Bu yüzden klinik karar, adneksiyal kitlenin karakteri, gebelik haftası, gebelik beklentisi ve overin tekrar kanlanmasına göre verilmelidir.

Anahtar Kelimeler:

Over torsiyonu, ovaryopeksi, gebelik

OVARIAN TORSION AND OVARIOPEXY IN PREGNANCY

A patient, aged 28 years and 33 weeks of pregnancy, admitted to our center with severe left lower quadrant pain. Ovarian torsion due to a 9 cm left ovary cyst was prediagnosed. The patient underwent general anesthesia and was corrected for torsioned ovary, blood was supplied, and the ovary was successfully fixed to the uterus by ovariopexy in order to avoid recurrence of torsion. The baby was born with a cesarean section. The patient was called to the control on the fifteenth day postop and the blood flow was re-evaluated by doppler ultrasonography. Although antepartum surgery is considered safe, abdominal surgery carries some risks for a pregnant woman and the fetus. Therefore, the clinical decision should be made according to the characteristics of the adnexal mass, the pregnancy week, pregnancy expectancy and reperfusion of the ovary.

Keywords:

Ovarian torsion, ovariopexy, pregnancy,

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