Abstract
In this case we report a 23 -year-old primigravida with 30 weeks presenting with torsion of the ovarian cyst. She presented to the antenatal clinic with acute pain abdomen. She was diagnosed to have torsion of ovarian cyst during pregnancy and a cystecomy was carried out. Her histopathology report showed a benign serous cystadenoma. Her pregnancy was followed up. She delivered a healthy female baby at term. Although the safety of antepartum surgical intervention has been accepted, abdominal surgery nevertheless carries some risks to a pregnant woman and unborn fetus, and so the choice of management necessitates a weighing of risks based on characterization of the adnexal mass and gestational age.
Highlights
Torsion of ovary is the total or partial rotation of the adnexa around its vascular axis or pedicle
Patient usually presents with acute severe pain abdomen and pelvic examination may reveal a tender cystic mass separate from the uterus
23 year old primigravida presented to the antenatal clinic with 7 months amenorrhoea and pain abdomen and 3 episodes of vomitings, since one day
Summary
Torsion of ovary is the total or partial rotation of the adnexa around its vascular axis or pedicle. 23 year old primigravida presented to the antenatal clinic with 7 months amenorrhoea and pain abdomen and 3 episodes of vomitings, since one day Ultrasonography revealed a 10 × 5 cm single anechoic cystic lesion in right iliac fossa with single thin septation and no solid components It showed a single intrauterine live fetus in longitudinal lie with breech presentation of 30 wks gestational age. MRI showed extended breech presentation of the fetus and a large hyper intense mass lesion on the right side of the abdomen, outside the uterus measuring 10.4 × 5.0 cms suggestive of right ovarian cyst. Patient recovered with an uneventful postoperative period and was discharged on 9th post operative day Her histopathology report showed benign serous cystadenoma of the ovary. Her pregnancy continued unremarkably and she delivered an alive female baby of birth weight 2.75 kg at term gestation by caesarean section
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