Ömer Hamid YUMŞAK, Ebru ÜNLÜ, Bekir Serdar ÜNLÜ

Gebeliğin 3. trimesterinde over torsiyonu: Vaka takdimi Ovarian torsion in 3. trimester of pregnancy: Case report

Otuz altı yaşında, gebeliğinin 35. haftasında olan bir hasta merkezimize ciddi sağ alt kadran ağrısı ile başvurdu. Torsiyone 12 cm sağ over kisti tanısı koyuldu. Hastaya epidural anestezi altında laparatomi uygulandı ve kist başa- rılı şekilde intakt olarak çıkarıldı. Bebek sezaryen ile doğur- tuldu. Histopatolojik incelemede; İntestinal tip Borderline müsinöz tümör bulundu. Postoperatif 4.ayında cerrahi evreleme uygulandı. Hasta klinik olarak takip edildi. Antepartum cerrahi müdahale güvenli kabul edildiği halde, abdominal cerrahi hamile bir kadın ve karnındaki fetus için bazı riskler taşır. Bu yüzden yönetim seçimi adneksiyal kitlenin karakteri ve gebelik yaşına göre karar verilmelidir.

A 36-year-old, 35th week of pregnancy woman was admitted to our center with severe right lower quadrant pain. The diagnosis of torsion of 12 cm right ovarian cyst was made. Patient underwent laparotomy under epidural anesthesia and the cyst was successfully removed intact. Fetus was delivered by cesarean section. Histopathological examination found intestinal-type borderline mucinous tumor. 4 months postoperatively, patient underwent surgical staging. Patient were followed-up clinically. Abdominal surgery carries some risks for the fetus of a pregnant woman although antepartum surgery has been considered safe. Management choice must be selected according to gestational age and adnexal mass character.

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