Oophoropexy to the Round Ligament after Recurrent Adnexal Torsion

• Autor(a) principal: Gonçalves,Inês Sarmento
• Data de Publicação: 2018
• Outros Autores: Sampaio,Joana, Félix,Joana, Silva,Ana Catarina, Fornelos,Gisela, Silva,Pedro Tiago
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Revista brasileira de ginecologia e obstetrícia (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032018001100726
• topic: Adnexal Torsion; oophoropexy; laparoscopy; round ligament; gynecological emergency

Abstract Recurrent adnexal torsion is a rare gynecological emergency. We report a case of recurrent ipsilateral adnexal torsion in a woman with polycystic ovaries, previously submitted to a laparoscopic plication of the utero-ovarian ligament. Due to the recurrence after the plication of the utero-ovarian ligament, the authors performed a laparoscopic oophoropexy to the round ligament, which is an underreported procedure. The patient was asymptomatic for 1 year, after which she had a new recurrence and needed a unilateral laparoscopic adnexectomy. Since then, she regained the quality of life without any gynecological symptoms. Oophoropexy to the round ligament may be considered when other techniques fail or, perhaps, as a first option in selected cases of adnexal torsion, as it may allow the prevention of recurrence without increasing morbidity while preserving the adnexa.