Ruptured ectopic pregnancy with contralateral adnexal torsion after spontaneous conception

Objective

To describe a case of ruptured ectopic pregnancy and contralateral adnexal torsion after spontaneous conception.

Design

Case report.

Setting

Tertiary university medical center.

Patient(s)

A 23-year-old multiparous female with severe bilateral pelvic pain and a positive pregnancy test.

Intervention(s)

Operative laparoscopy with detorsion of left adnexa, drainage of left ovarian hemorrhagic corpus luteum cyst, right salpingectomy, and dilation and curettage.

Main Outcome Measure(s)

Laparoscopy revealed a 5 cm hemorrhagic corpus luteum cyst of the left ovary, torsion of the left ovary and fallopian tube, and a ruptured right ampullary ectopic pregnancy.

Result(s)

Normal perfusion of left ovary and fallopian tube after detorsion, resolution of left ovarian hemorrhagic corpus luteum cyst, patent left fallopian tube with chromopertubation, and successful removal of ectopic pregnancy.

Conclusion(s)

This is a unique case of adnexal torsion and contralateral ectopic pregnancy occurring after spontaneous conception.

Key Words: Adnexal torsion, ectopic pregnancy, pelvic pain, Doppler sonography