Abstract
BackgroundOf all patients undergoing emergency surgery for acute pelvic pain, approximately 2.7% of cases are caused by ovarian torsion. We report a rare occurrence of bilateral ovarian torsion in a young woman.Case presentationWe report the case of a 20-year-old white woman who presented with sudden onset of severe lower abdominal pain and nausea. Similar episodes of pain were experienced in the previous few months and diagnosed as a case of bilateral ovarian cyst. She was found to have a bilateral ovarian torsion caused by adnexal mass. She was treated by laparoscopic detorsion, left salpingo-oophorectomy, and right cystectomy.ConclusionThis case highlights the need to perform an early laparoscopic surgical intervention in cases of bilateral ovarian mass because of the greater chance for their torsion and subsequent effects on fertility.
Highlights
We report a rare case of bilateral ovarian torsion treated by laparoscopic unilateral oophorectomy, ovarian detorsion, and cystectomy on the other side with the aim of preserving her fertility
An ovarian dermoid cyst is a benign tumor originating from germinal cells
Acute abdominal and pelvic pain is the commonest symptom of a dermoid cyst, and, in 15% of cases, the symptoms are associated with menstrual abnormalities
Summary
Of all patients undergoing emergency surgery for acute pelvic pain, approximately 2.7% of cases are caused by ovarian torsion [1]. It is defined as the partial or complete rotation of adnexa around its vascular axis that may cause an interruption in the ovarian blood and lymphatic flow [2]. A pelvic examination revealed bilateral adnexal tenderness on vaginal touch Her full blood counts, serum biochemistry, and tumor marker were within the normal ranges. The pain resolved completely after surgery and the final pathologic diagnosis was mature ovarian teratoma (dermoid) She was discharged on the second postoperative day and advised to follow up after 4 weeks. She recovered completely from her surgery and has gone back to her normal daily activity
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