An interesting case of right ovarian cyst torsion: case report
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20240150Keywords:
Abdominal pain, Ovarian cyst, Ovarian torsion, Detorsion, Ovariopexy, OophorectomyAbstract
Ovarian torsion is a comparatively rare gynecological emergency. It commonly presents with complaints of acute abdominal pain, nausea, and vomiting. It occurs due to twisting of the ovarian pedicle leading to ischemic changes in the ovary. It can even result in complete loss of blood supply, eventually necrosis of the ovary. It is diagnosed clinically and can be confirmed on ultrasound color doppler. The management of ovarian torsion depends on the age of the patient, size of the mass, ovary condition, and USG findings. Early diagnosis and treatment of torsion are necessary to preserve the viability of the ovary. We are reporting a case of a 30-year-old female with right ovarian cyst torsion of size 6.3×6.8×6 cm. Once torsion is diagnosed surgery is the mainstay of treatment, either detorsion and ovariopexy or oophorectomy if the ovary cannot be salvaged.
References
Ovarian torsion in a 22-year-old nulliparous woman. Aust Med Student J. 2012;3(1):58-60.
Pramana C, Monica I, Rizkik O, Dewanti I, No author NA, Andriani D, et al. Ovarian Cyst Torsion: a Case Report. Int J Med Rev Case Rep. 2020;4(10):44-6.
Durga K, Yasodha A, Yuvarajan. Giant hemorrhagic ovarian cyst with torsion-rare case report. Obstet Gynaecol Cases Rev. 2020;7(4):1-4.
Lucchetti MC, Orazi C, Lais A, Capitanucci ML, Caione P, Bakhsh H. Asynchronous Bilateral Ovarian Torsion: Three Cases, Three Lessons. Case Rep Pediatr. 2017;2017:6145467.
Ryan MF, Desai BK. Ovarian torsion in a 5-year old: a case report and review. Case Rep Emerg Med. 2012;2012:679121.
Robertson JJ, Long B, Koyfman A. Myths in the Evaluation and Management of Ovarian Torsion. J Emergency Med. 2017;52(4):449-56.
Asfour V, Varma R, Menon P. Clinical risk factors for ovarian torsion. J Obstetr Gynaecol. 2015;35(7):721-5.
Wilkinson C, Sanderson A. Adnexal torsion-a multimodality imaging review. Clin Radiol. 2012;67(5):476-83.
Peña JE, Ufberg D, Cooney N, Denis AL. Usefulness of Doppler sonography in the diagnosis of ovarian torsion. Fertility and Sterility. 2000;73(5):1047-50.
Ros PR, Mortele KJ. CT and MRI of the Abdomen and Pelvis: A Teaching File. Lippincott Williams and Wilkins. 2007;395.
Crouch NS, Gyampoh B, Cutner AS, Creighton SM. Ovarian torsion: to pex or not to pex? Case report and review of the literature. J Pediatr Adolescent Gynecol. 2003;16(6):381-4.
Bar-On S, Mashiach R, Stockheim D, Soriano D, Goldenberg M, Schiff E et al. Emergency laparoscopy for suspected ovarian torsion: are we too hasty to operate? Fertil Steril. 2010;93(6):2012-5.
