Luigi Giuseppe Angiò

Adnexal torsion in pregnancy

Torsion of the adnexa is an uncommon cause of surgical emergency. Adnexal torsion (AT) may arise in women of any age, but particularly during the reproductive years. It is generally unilateral and may involve either normal or pathological adnexa. Only rarely AT complicates pregnancy occurring more frequently in the first trimester. The clinical symptoms are non-specific and consequently a prompt and correct diagnosis is not frequently made. The traditional treatment of the ischemic, twisted adnexa consists in oophorectomy or salpingo-oophorectomy; in young women, in the case of early diagnosis, a conservative approach is recommended to pursue the future fertility of these patients.

Rare localizations of echinococcosis: personal experience

Background:  The rare localizations of hydatidosis represent an interesting topic, especially with reference to epidemiological and diagnostic problems. Hydatid disease, common in Mediterranean countries, still remains endemic in some regions of Italy.