Abstract
Transient ovarian cysts are a common clinical finding for reproductive age women, including adolescents. Although these cyst or often asymptomatic, ovarian cysts can also cause mild to severe pain which could represent cyst rupture or ovarian torsion, requiring immediate surgical intervention. Immunosuppressant therapies, including Sirolimus and Tacrolimus, have been associated with increased ovarian cyst formation in adult women. As Tacrolimus is commonly used in pediatric patients status post renal transplant, these patients may be at increased risk of ovarian cysts and subsequent torsion during puberty and adolescence.
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