Kalyani Saidhandapani

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TITLE: Case report: Success story of acute abdomen in pregnancy – Torsion Ovary

Torsion ovary is one of the acute emergencies in pregnancy with a prevalence of 2.7-3% with high maternal and fetal mortality rates. Ovarian torsion is the complete or partial rotation of the adnexa along its axis. Delay in diagnosis leads to hemorrhage, infarction, and necrosis resulting in loss of ovary. Although 26% adnexal torsion can occur in apparently healthy adnexa, the exact etiology remains unknown, predisposing factors include larger cyst size, free mobility, and long pedicle. Acute onset of pelvic pain followed by nausea and vomiting is the most common presenting symptom. High levels of clinical suspicion along with ultrasound and Doppler aids in diagnosis. We present a case of 18 weeks multipara with acute abdomen diagnosed as ovarian torsion -emergency laparotomy was done and scalping-oophorectomy proceeded given tortured necrosed ovary without disturbing gravid uterus. Pregnancy was continued and an alive term baby was delivered by normal vaginal delivery. Once torsion ovary is suspected, surgical management remains the treatment of choice.


Kalyani Saidhandapani is a DGO/DNB(OBG)/Mnams(OBG) Laparoscopic & Endoscopic Surgeon and Medical Director & Chief Gynaecologist/HOD (OBG Department) in Southern Railway HQ Hospital, Chennai. Her achievements are given top paper presentations at OGSSI 2007 and YUVA FOGSSI in 2011 and 2014. She won an award for an intriguing case report at IRAGO 2008 and has presented papers at national conferences. Additionally, she has published 10 articles in international and SAFOG journals. Her paper has been chosen for the international SAFOG conference in May 2024 in Bangkok, and she will present at the World Congress in August 2024.

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