Successful laparoscopy management of 20cm mass that caused 1260 degrees rotation of adnexa in first trimester of pregnancy: a case report and literature review

Diagnosing and managing pelvic pain during pregnancy is often challenging. This pain can be obstetrical, gynecological, or non-obstetrical_non-gynecological. Ovarian torsion, known as the consequence of ovarian twisting on its supporting ligaments, is one of the causes of gynecological pelvic pain that can occur during pregnancy and cause emergencies. However, early detection can preserve the ovaries and preserve the patient's current and future fertility. Surgery is the gold standard for the diagnosis and treatment of ovarian torsion. It is important to choose the best surgical technique (laparoscopy or laparotomy) to reduce possible complications during and after surgery. Our case is a 7-8 weeks pregnant woman who underwent laparoscopic surgery with an ovarian mass of 85*152 mm and an acute abdomen. It was found that the mass has caused 1260 degrees rotation in the patient's left adnexa. The results during and after surgery, as well as the condition of the mother and baby, were favorable.