Abstract
Abstract Background: Majority of the cases of adnexal torsion are associated with ovarian or paraovarian masses. Case: The authors report left adnexal torsion associated with a corpus luteal cyst. Following laparoscopic detorsion and cyst aspiration, the patient made an uneventful recovery. Twisting of the left adnexa recurred in the third month after surgery and was not associated with any obvious adnexal pathology. The left ovary was polycystic and both ovarian ligaments appeared elongated and hypermobile. Plication of bilateral ovarian ligaments was performed in addition to unwinding of the adnexa. Conclusion: The absence of adnexal masses does not preclude torsion. Concomitant shortening of long and lax ovarian ligaments along with detorsion can prevent recurrence in women with bulky polycystic ovaries who are prone to retorsion. (J GYNECOL SURG 31:229)
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