Abstract
Ovarian torsion (OT) is the fifth most common gynecological emergency with a reported prevalence of 2.5%–7.4%. A 19-year-old unmarried girl, known the case of the polycystic ovarian syndrome (PCOS) was referred with sudden onset left-sided lower abdominal pain for the past 7 days, associated with vomiting. On examination, lower abdominal tenderness, exclusively to the left side was present. Ultrasound showed a bulky left ovary of 6 cm × 8 cm × 6 cm with no vascularity and fluid in POD. Laparoscopy revealed a gangrenous left ovarian cyst of 8 cm × 8 cm, twisted five times over the fallopian tube which was adherent to lateral pelvic wall and omentum. Left oophorectomy was done. In all patients of PCOS with acute abdomen, ovarian torsion should be included in differential diagnosis, and early recourse to laparoscopy is the key for prevention of the dreaded complication of the gangrenous ovary and ultimately oophorectomy.
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