{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T11:11:58Z","timestamp":1698750718104},"reference-count":17,"publisher":"Akademiai Kiado Zrt.","issue":"35","license":[{"start":{"date-parts":[[2021,8,29]],"date-time":"2021-08-29T00:00:00Z","timestamp":1630195200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2021,8,29]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold> Terhess\u00e9gben az \u00e9lettani \u00e9s anat\u00f3miai v\u00e1ltoz\u00e1sok miatt\n                    bizonyos patol\u00f3gi\u00e1s szervi elt\u00e9r\u00e9sek nem specifikus t\u00fcnettannal j\u00e1rhatnak. A\n                    v\u00e1rand\u00f3ss\u00e1g alatt fell\u00e9p\u0151 hasi panaszok eset\u00e9n l\u00e9nyeges fel\u00e1ll\u00edtani a gyors \u00e9s\n                    pontos diagn\u00f3zist, a min\u00e9l kor\u00e1bbi adekv\u00e1t ter\u00e1pia \u00e9rdek\u00e9ben. A klinikai t\u00fcnetek\n                    h\u00e1tter\u00e9ben t\u00f6bbek k\u00f6z\u00f6tt \u00e1llhatnak sz\u00fcl\u00e9szeti betegs\u00e9gek, illetve appendicitis,\n                    megnagyobbodott ovariumcysta, nephrolithiasis vagy diverticulitis is.\n                    Esetismertet\u00e9s\u00fcnkben egy 32 hetes gravida ell\u00e1t\u00e1s\u00e1t prezent\u00e1ljuk, aki jobb\n                    alhasi panaszok miatt jelentkezett a Szegedi Tudom\u00e1nyegyetem Sz\u00fcl\u00e9szeti \u00e9s\n                    N\u0151gy\u00f3gy\u00e1szati Klinik\u00e1j\u00e1n. A magzati param\u00e9terek megfelel\u0151ek voltak. A klinikai\n                    vizsg\u00e1latok appendicitis gyan\u00faj\u00e1t vetett\u00e9k fel, mely miatt laparoszk\u00f3pia\n                    t\u00f6rt\u00e9nt. Torqu\u00e1l\u00f3dott jobb oldali tuba uterina miatt jobb oldali salpingectomi\u00e1t\n                    v\u00e9gezt\u00fcnk, az appendix k\u00f3ros elv\u00e1ltoz\u00e1sa nem igazol\u00f3dott. Magzati, illetve anyai\n                    sz\u00f6v\u0151dm\u00e9ny a posztoperat\u00edv szakban nem volt. A tov\u00e1bbi terhesgondoz\u00e1s sor\u00e1n\n                    sz\u00f6v\u0151dm\u00e9nyt nem \u00e9szlelt\u00fcnk, majd a bet\u00f6lt\u00f6tt 40. terhess\u00e9gi h\u00e9ten h\u00fcvelyi \u00faton\n                    eg\u00e9szs\u00e9ges \u00fajsz\u00fcl\u00f6tt sz\u00fcletett. A m\u00e9hf\u00fcggel\u00e9k megcsavarod\u00e1s\u00e1nak operat\u00edv\n                    megold\u00e1sa laparoszk\u00f3pos \u00faton alkalmazhat\u00f3 m\u00f3dszernek tekinthet\u0151 terhess\u00e9gben is.\n                    Az adnexcsavarod\u00e1s ritka s\u00fcrg\u0151ss\u00e9gi n\u0151gy\u00f3gy\u00e1szati k\u00f3rk\u00e9pnek sz\u00e1m\u00edt, b\u00e1r\n                    szakirodalmi adatok alapj\u00e1n az adnexum torsi\u00f3j\u00e1nak rizik\u00f3ja fokozott lehet a\n                    terhess\u00e9g korai szakasz\u00e1ban, kiv\u00e1ltk\u00e9pp assziszt\u00e1lt reprodukci\u00f3s technik\u00e1k\n                    alkalmaz\u00e1sa eset\u00e9n. V\u00e1rand\u00f3ss\u00e1g alatt hirtelen jelentkez\u0151 alhasi panaszok eset\u00e9n\n                    az anamnesztikus adatok t\u00fckr\u00e9ben, a klinikai vizsg\u00e1latok sor\u00e1n sz\u00fcks\u00e9ges az\n                    adnextorsio lehet\u0151s\u00e9g\u00e9re is gondolni. Orv Hetil. 2021; 162(35): 1418\u20131421.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold> Due to physiological and anatomical changes in pregnancy,\n                    certain pathological organ abnormalities may be associated with non-specific\n                    symptoms. In the case of abdominal complaints during pregnancy, it is important\n                    to make a quick and accurate diagnosis to apply an early adequate therapy. The\n                    cause of the clinical symptoms can be obstetrical diseases, appendicitis, large\n                    ovarial cyst, rarely nephrolithiasis or diverticulitis. Through our case study,\n                    we present the treatment of a 32-week gravida. Examination of the pregnant\n                    patient occured at the Department of Obstetrics and Gynecology of the University\n                    of Szeged due to right lower abdominal pain. The fetal parameters were\n                    satisfactory. We assumed appendicitis, so after proper preparation laparoscopy\n                    was performed. Salpingectomy was performed because of torqued right fallopian\n                    tube and no pathological changes were detected on the appendix. In the\n                    postoperative period, there were no fetal or maternal complications. During\n                    further care of pregnancy, there were no complications and a healthy newborn was\n                    born by vaginal delivery at the 40th week of gestation. The operative procedure\n                    of adnexal rotation by laparoscopy can be considered as an applicable method\n                    even in pregnancy. Adnexal torsion is a rare emergency gynecological disease,\n                    although literature data suggest an increased risk in early pregnancy,\n                    especially in the case of assisted reproductive technology. In the case of\n                    sudden abdominal pain during pregnancy, in the light of anamnestic data, it is\n                    recommended to consider the possibility of adnexal torsion, too. Orv Hetil.\n                    2021; 162(35): 1418\u20131421.<\/jats:p>","DOI":"10.1556\/650.2021.32165","type":"journal-article","created":{"date-parts":[[2021,8,31]],"date-time":"2021-08-31T10:05:43Z","timestamp":1630404343000},"page":"1418-1421","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["Torqu\u00e1l\u00f3dott m\u00e9hf\u00fcggel\u00e9k laparoszk\u00f3pos ell\u00e1t\u00e1sa a 32. terhess\u00e9gi h\u00e9ten"],"prefix":"10.1556","volume":"162","author":[{"given":"M\u00e1ri\u00f3 Attila","family":"Vincze","sequence":"first","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika, Szeged, Semmelweis u. 1., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"N\u00e9meth","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika, Szeged, Semmelweis u. 1., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tibor","family":"Nov\u00e1k","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika, Szeged, Semmelweis u. 1., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","unstructured":"1 Asfour V, Varma R, Menon P. 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