Tekrarlayan over torsiyonun nadir bir komplikasyonu olarak over torsiyonu,enfarktüsü ve rüptürü olgusu

Over torsiyonu, genellikle üreme çağındaki kadınları etkileyen jinekolojik bir acil durumdur ve over fonksiyonunu korumakiçin acil cerrahi müdahale gereklidir. Tekrarlayan ipsilateral over torsiyonu nadiren görülür ancak üreme kapasitesindeciddi bir azalmaya neden olabilir. Bunu önlemek için farklı cerrahi teknikler tarif edilmiştir. Burada sunulan vaka, üçüncükez torsiyon olan ve over rüptürü ile komplike olan tekrarlayan ipsilateral over torsiyonu olan 26 yaşında bir kadına aittir

Torsion, infarction, and rupture of an ovary: A rare complication of recurrent ovarian torsion

Ovarian torsion is a gynecological emergency generally affecting women of reproductive age, and urgent surgicalintervention is required to preserve ovarian function. Recurrent ipsilateral ovarian torsion is rarely seen but may causea severe decrease in reproductive capacity. Different surgical techniques have been described to prevent this. The casepresented here is of a 26-year old female with recurrent ipsilateral ovarian torsion, complicated by an ovarian rupture inthe third episode of torsion. 

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  • Tsafrir Z, Hasson J, Levin I, Solomon E, Lessing JB, Azem F. Adnexal torsion: cystectomy and ovarian fixation are equally important in preventing recurrence. Eur J Obstet Gynecol Reprod Biol 2012; 162:203-205.
  • Damigos E, Johns J, Ross J. An update on the diagnosis and management of ovarian torsion. Obstet Gynaecol 2012;14:229-236.
  • Daykan Y, Bogin R, Sharvit M, et al. Ovarian size as a risk factor for recurrent adnexal torsion: Smaller is not better J Obstet Gynaecol Res 2020; 46:745-751.
  • Germain M, Rarick T, Robins E. Management of intermittent ovarian torsion by laparoscopic oophoropexy. Obset Gynecol 1996; 88:715–717.
  • Panksy M, Smorgick N, Herman A, Schneider D, Halperin R. Torsion of Normal Adnexa in Postmenarchal Women and Risk of Recurrence. Obstet Gynecol 2007; 109:355–359.
  • Tamir Yaniv R, Schonmann R, Agizim R et al. Correlation between the length of ovarian ligament and ovarian torsion: A prospective study. Gynecol Obstet Invest 2018; 84:45–49.
  • Adeyemi-Fowode O, Lin EG, Syed F, Sangi-Haghpeykar H, Zhu H, Dietrich JE. Adnexal Torsion in Children and Adolescents: A Retrospective Review of 245 Cases at a Single Institution. J Pediatr Adolesc Gynecol 2019; 32:64-69.
  • Şahin B, Cura G, Çelik F, Şahin B. Ovarian torsion and Ovariopexy in Pregnancy. DEÜ Tıp Fakültesi Dergisi 2018; 32:269 – 274
  • Alanbay İ, Çoksüer H, Ercan M, Keskin M, Karaşahin E, Güler AE, Başer İ. Turkiye Klinikleri J Gynecol Obst 2012; 22:57-62.