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Rare disease
Adnexal torsion in third trimester of pregnancy
  1. Rita Marquez Passarinho1,
  2. Énio Afonso2,
  3. Luís Reis2,
  4. Isabel Santos Silva1
  1. 1Department of Obstetrics, Maternidade Bissaya Barreto, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  2. 2Department of General Surgery, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  1. Correspondence to Dr Rita Passarinho ritapassarinho{at}


The authors report an unusual case of adnexal torsion in a patient in the third trimester of pregnancy. A 32-year-old woman, gravida 1, para 0, in the 32nd week of gestation initially presented with clinical signs of acute appendicitis. On laparotomy, it was identified that a necrotic mass of the right adnexa and performed a unilateral salpingo-oophorectomy. The postoperative period was uneventful. In the 37th week of gestation, the labour was induced by fetal intrauterine growth restriction. She delivered vaginally, a healthy baby, with 2085 g and an Apgar score of 9 and 10 at the first and fifth minute, respectively.

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