2013, Number 09
<< Back Next >>
Ginecol Obstet Mex 2013; 81 (09)
Acute Abdomen as a Complication of a Molar Pregnancy
Escobar-Ponce LF, Arteaga-Gómez AC, Olguín-Ortega AA
Language: Spanish
References: 10
Page: 541-544
PDF size: 186.66 Kb.
ABSTRACT
To report a case of bilateral ovarian torsion after a molar
pregnancy. Clinical case: An 18 year old female was admitted
for a 7 week molar pregnancy. A week after uterine evacuation
the patient was readmitted to the emergency room with
acute abdomen. Exploratory laparotomy revealed torsion and
necrosis of both ovaries. A bilateral salpingo-oophorectomy
was performed. The anatomopathology study confirms both
ovaries with hyperrectio luteinalis and hemorrhagic infarct.
Acute abdomen secondary to torsion and necrosis of thecalutein
cysts can be a molar pregnancy-related complication.
REFERENCES
Soper JT. Gestational trophoblastic disease. Obstet Gynecol 2006;108:176-187.
De Andrade JM. Hydatidiform mole and gestational trophoblastic disease. Rev Bras Ginecol e Obstetricia 2009;31:94- 101.
Seckl MJ, Sebire NJ, Berkowitz RS. Gestational trophoblastic disease. Lancet 2010;376:717-729.
Gatongi DK, Madhvi G, Tydeman G, Hasan A. A case of hyperreaction luteinalis presenting with eclampsia. J Obstet Gynaecol J 2006;26:465-467.
Ózdemir S, Balci O, Gorkemli H, Koyuncu T, Turan G. Bilateral adnexal torsión due to postmenopausal hydatidiform mole. J Obstet Gynaecol Res 2011;37:359-362.
Lee CH, Raman S, Sivanesaratnam V. Torsión of ovarian tumors: a clinícopathological study. Int J Gynaecol Obstet 1989;28:21-25.
Sommerville M, Grimes DA, Koonings PP, Campbell K. Ovarian neoplasms and the risk of adnexal torsion. Am J Obstet Gynecol 1991;164:577-578.
Bottomley C, Bourne T. Diagnosis and management of ovarian cyst accidents. Best Pract Res Clin Obstet Gynaecol 2009;23:711-724.
Andreotti RF, Lee SI, Dejesus Allison SO, Bennett GL, Brown DL, Dubinsky T, et al. ACR Appropriateness Criteria Acute Pelvic Pain in the Reproductive Age Group. Ultrasound Q 2011;27:205-210.
Tobiume T, Shiota M, Umemoto M, Kotani Y, Hoshiai H. Predictive factors for ovarian necrosis in torsion of ovarían tumor. Tohoku J Exp Med 2011;225:211-214.