{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T06:14:11Z","timestamp":1788156851135,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T00:00:00Z","timestamp":1785628800000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Adnexal torsion in pregnancy is an uncommon surgical emergency that may compromise both ovarian viability and pregnancy outcome. Diagnosis in late gestation is particularly challenging because of nonspecific symptoms and displacement of the adnexa. Although laparoscopy is well established in early pregnancy, evidence supporting its use in the third trimester remains limited. We report a case of ovarian torsion occurring at 30\u2009+\u20091\u2009weeks of gestation that was successfully managed laparoscopically using pregnancy\u2010adapted techniques. The patient presented with acute abdominal pain, and imaging revealed a right adnexal mass with no detectable intraovarian arterial or venous flow. Emergency laparoscopy was performed within a few hours of admission. Abdominal access was achieved using a 10\u2010mm optical trocar placed under ultrasound guidance approximately 6\u2009cm above the uterine fundus, and pneumoperitoneum was reduced to 12\u2009mmHg after initial access. Detorsion restored the appearance of ovarian perfusion, and ovarian\u2010sparing cystectomy was performed for the underlying mature cystic teratoma. Postoperative recovery was uneventful, the pregnancy progressed to spontaneous term delivery, and postpartum ultrasonography demonstrated normal right\u2010ovarian morphology with preserved vascularization. A focused review identified only a limited number of comparable laparoscopic cases at or beyond 28\u2009weeks of gestation. This case adds to the limited evidence supporting individualized laparoscopic management of ovarian torsion in late pregnancy when pregnancy\u2010specific precautions and multidisciplinary expertise are available.<\/jats:p>","DOI":"10.1002\/ccr3.73266","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T06:14:58Z","timestamp":1785737698000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic Management of Ovarian Torsion in the Third Trimester of Pregnancy: A Case Report and Literature Review"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7143-0698","authenticated-orcid":false,"given":"Aysel","family":"Nal\u00e7akan Erg\u00fcnay","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Ac\u0131badem Mehmet Ali Ayd\u0131nlar University Atakent Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7833-2422","authenticated-orcid":false,"given":"Edis","family":"Kahraman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ac\u0131badem Mehmet Ali Ayd\u0131nlar University Atakent Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2055-3000","authenticated-orcid":false,"given":"Emine","family":"Karab\u00fck","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ac\u0131badem Mehmet Ali Ayd\u0131nlar University Atakent Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3991-2459","authenticated-orcid":false,"given":"Turgut","family":"Ayd\u0131n","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ac\u0131badem Mehmet Ali Ayd\u0131nlar University Atakent Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2022.12.026"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2018.03.022"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.15048"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404\u2010018\u201005039\u2010y"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003174"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010017\u20105637\u20103"},{"issue":"1","key":"e_1_2_12_8_1","first-page":"5","article-title":"Evidence\u2010Based Guideline on Laparoscopy in Pregnancy: Commissioned by the British Society for Gynaecological Endoscopy (BSGE), Endorsed by the Royal College of Obstetricians and Gynaecologists 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