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February 1977

Antenatal Torsion of a Normal Ovary and Fallopian Tube

Author Affiliations

Department of Pathology University of Oregon Health Sciences Center Portland, OR 97201

Am J Dis Child. 1977;131(2):236. doi:10.1001/archpedi.1977.02120150118024

Torsion of normal uterine adnexae in children is an uncommon event, and its occurrence before the age of 2 years is very rare.1 Bechamps2 encountered torsion of a normal fallopian tube and ovary in a 5½-week-old infant and speculated that it may have developed in utero. I have recently encountered a case in which antenatal torsion of a normal tube and ovary clearly occurred.

Report of a Case.—The patient was a female infant, the second of triplets, born at 27½ weeks gestation to a 20-year-old primigravida woman. The pregnancy seemed unremarkable until 25 weeks when polyhydramnios was noted. At 27 weeks, uterine contractions commenced and ethanol was administered intravenously. Despite this therapy, the membranes ruptured spontaneously four days after onset of labor. Because of fetal malpresentation, a cesarean section was performed. The second born, triplet B, was limp and cyanotic on delivery, with a Apgar score of