ADNEXAL TORSION IN PREGNANCY

Torsion of the adnexa is an uncommon cause of surgical emergency. Adne xal torsion (AT) may arise in women of any age, but particularly durin g the reproductive years. It is generally unilateral and may involve e ither normal or pathological adnexa. Only rarely AT complicates pregna ncy occurring more frequently in the first trimester. The clinical sym ptoms are non-specific and consequently a prompt and correct diagnosis is not frequently made. The traditional treatment of the ischemic, tw isted adnexa consists in oophorectomy or salpingo-oophorectomy; in you ng women, in the case of early diagnosis, a conservative approach is r ecommended to pursue the future fertility of these patients.