Bilateral torsion of an ovarian dermoid cyst in a nullipara, exploratory laparotomy, right ovariectomy and left cystectomy: A case report

Abstract

Background: Ovarian torsion is a common gynecological emergency prompt diagnosis and treatment results in favourable outcome. This may be unilateral or bilateral in rare cases. However, bilateral Adnexal torsion (AT) is a gynecological emergency which occurs in approximately 2.7-3.5% of women of all ages globally. Aim: To present this uncommon clinical condition and offer management modality. Presentation of case: AC was a 28 -year- old nulliparous woman, who presented to our institution with a history of sudden onset of severe lower abdominal pain and nausea. On physical examination, she was acutely ill-looking, in mild painful distress, and her vital signs were within normal limits. On abdominal examination, there was no distension but there was lower abdominal tenderness, with muscle guarding. A pelvic examination revealed bilateral adnexal tenderness. Ultrasound examination showed a right ovarian cyst of size about 9 × 7 cm poor visualization of the left ovary. An impression of torsion of right ovarian dermoid cyst was made. She had exploratory laparotomy for ovarian torsion, right ovariectomy and left cystectomy. Her post-operative period was uneventful and was discharged in her 6th post-operative day in stable clinical state. Conclusion: We have presented 28-year-old nullipara who had bilateral ovarian and laparotomy with cystectomy. Prompt intervention of similar cases results in better prognosis.