Published Paper Details:

Non-obstetric surgical emergencies during pregnancy present unique challenges for anesthesiologists and surgeons, as maternal safety must be balanced with fetal well-being. Ovarian torsion is a rare but potentially serious complication in pregnancy, often requiring urgent surgical intervention. We report the case of a 24-year-old primigravida at 13 weeks and 5 days of gestation who presented with acute abdominal pain and was diagnosed with torsion of a large ovarian cyst. The patient underwent emergency laparotomy and right salpingo-oophorectomy under spinal anesthesia. Anesthetic management was tailored to minimize fetal exposure to systemic drugs and maintain maternal hemodynamic stability. The intraoperative and postoperative course was uneventful, and fetal viability was confirmed postoperatively. This case underscores the importance of timely diagnosis, multidisciplinary coordination, and cautious anesthetic planning in ensuring favorable maternal and fetal outcomes in such high-risk situations.