LAPAROSCOPIC OOPHOROPEXY FOR RECURRENT ADNEXAL TORSION

Torsion of the adnexa has traditionally been treated bu adnexectomy be cause of the fear of emboli departing from thrombosed ovarian veins, S everal recent reports have described successful conservative managemen t with unwinding of the twisted adnexa. As the trend toward conservati ve management progresses,the incidence of recurrent adnexal torsion ma y increase, We present a case of a 33 year old gravida 3, para 2 Cauca sian female who presented at 7 weeks gestation complaining of symptoms similar to those experienced during an episode of right ovarian torsi on treated by laparoscopic unwinding 6 years earlier. Colour Doppler s onography revealed absent flow in the right adnexa, The twisted right adnexa containing the presumed corpus luteum of pregnancy was laparosc opically unwound. Using an extracorporeal suturing technique, a laparo scopic oophoropexy was performed to prevent any further rotatory movem ent. This appears to be the first reported case of laparoscopic oophor opexy for a recurrent ovarian torsion; we encourage the use of this si mple, minimally invasive procedure in cases of recurrent adnexal torsi on.