Adnexal torsion is a rare complication estimated to occur in approximately 1/1000 pregnancies and considered as a surgical emergency. The clinical diagnosis remains difficult given the non-specificity of the clinical picture. Since the functional cysts during pregnancy often resolve spontaneously, the surgeon may opt for conservative management by de-torsion by laparoscopy. The adverse infant-related outcomes, even weakly described over the years, impose considerable harmlessness with respect to progressive pregnancy. In this report, we will describe the management of a torsion of an ovarian cyst in 11 weeks of pregnancy, and show that detorsion should be the procedure of choice for cases of simple ovarian torsion.
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