Ovarian Torsion in 17-year-old Nulligravida with Polycystic Ovarian Disease

Abstract

Ovarian torsion is defined as the complete or partial rotation of the adnexal supporting organ in the presence of ischemia. To maintain the health of the ovaries and fallopian tubes and prevent severe morbidity, early diagnosis is essential. Ovarian torsion emerges in 2 percent to 15 percent of patients who have a procedure of adnexal mass. Acute pelvic pain that suddenly starts is the most typical sign of ovarian torsion, followed by nausea and vomiting. Ultrasonography revealed that left ovary is enlarged measures 5.16×4.62×3.99cm volume 49.8ml with hemorrhagic cyst of size 4×3cm. The recovery of macroscopically nonviable ovaries is feasible with laparoscopic conservative management and ovary untwisting. To confirm the result, prolonged follow-up is necessary.