Comprehensive Management of Ovarian Tumour-related Torsion: A Case Report

Abstract

Ovarian tumours are diverse and lead to rare yet critical complications such as torsion. The ovary twists on its own axis and compromises blood flow. Ovarian torsion is uncommon and has considerable risk in women of reproductive age. The present case report elucidates the intricate nature of ovarian tumours, particularly emphasising the rare yet critical complication of torsion, where the ovary twists, compromising blood flow. The presented case involves a 35-year-old multiparous woman with acute abdominal pain, vomiting, and elevated Cancer Antigen 125 (CA-125) levels, leading to the diagnosis of a left ovarian cyst with torsion via Ultrasonography (USG). The subsequent surgical intervention, involving exploratory laparotomy, successfully confirmed and addressed the issue, resulting in detorsion and cystectomy. Histopathological examination further identified a benign serous cystadenoma. The present case underscores the diagnostic challenges associated with ovarian tumour-related torsion, highlighting the importance of symptom analysis and diagnostic imaging for early recognition. It also emphasises the effectiveness of surgical intervention, showcasing varied treatment options, from cystectomy to detorsion, contingent on individual circumstances. The present case report stresses the imperative of a multidisciplinary approach involving gynaecologists, radiologists and surgeons for optimal outcomes in managing this complex condition.