Adnexal salvage through a 2-stage laparoscopic operation in a young woman with adnexal torsion

3. However, removing both the ovary and the fallopian tube is associated with potential problems for future fertility in adolescent girls and women of child-bearing age. Therefore, it is reasonable that adnexal torsion in young women be managed conservatively, with gentle untwisting of the pedicle and possible cystectomy 1-2, 4-10 . Cystectomy is mandatory when a neoplasm is involved, but in black-bluish ischemic adnexa, it is usually difficult to identify and remove the causative cyst. In this report, we describe successful cystectomy 9 weeks after the first laparoscopic operation, during which we untwisted the black-bluish ischemic adnexa resulting from torsion. We discuss the merits of this 2-stage laparoscopic operation for adnexal torsion.