PMC4855745_01
Sites of trocar insertion.
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A 10-mm trocar was introduced from Palmer's point and a secondary trocar was inserted in the right-upper abdominal quadrant (Fig. 1).
(a) Laparoscopic view of the torsioned right ovary. (b) Torsioned right tuba uterina with a necrotic appearance. (c) Right ovary, ten minutes after detorsion. (d) Right tuba uterina, ten minutes after detorsion.
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Laparoscopy showed a twisted twice, necrotic appearing right ovary (Fig. 2a-b). Detorsion of the right adnexa was carefully performed and an improvement in color and a decrease in edema of the ovary was observed (Fig. 2c). However, color of the right tuba uterina did not change (Fig. 2d).