LAPAROSCOPIC ADNEXAL PRESERVATION IN A PATIENT WITH COMPLETE TORSION - A CASE-REPORT

Objective: Laparoscopic adnexal preservation in a patient with complet e torsion. Study design: Laparoscopy was performed in a 20-year-old nu lliparous patient with a 24-h history of lower abdominal pain. Results : Torsion of the left adnexa was diagnosed and detorsion was performed . After detorsion the patient reported complete resolution of pain. At second look laparoscopy blood supply of the left adnexa was completel y normalized and a cystadenofibroma was excised with preservation of t he ovary. Conclusions: Complete torsion of adnexa associated with edem a and ischemia can be treated by laparoscopic detorsion. (C) 1998 Else vier Science Ireland Ltd.