[Conservative laparoscopic treatment of adnexal torsion during pregnancy]

Adnexal torsion is an unusual but serious complication in pregnancy, occurring most frequently in the first trimester. The difficult and often delayed diagnosis generally imposed laparotomy and adnexectomy, severely affecting foetal and fertility outcome among young women. In case of early diagnosis, a few authors have recommended conservative treatment by untwisting the adnexa. At the moment, only very few cases of laparoscopic conservative management of adnexal torsion during pregnancy have been reported. The authors report three cases of adnexal torsion during the first trimester of pregnancy, all managed by laparoscopy and discuss the validity of conservative management of adnexal torsion.