Gynecology and Minimally Invasive Therapy

CASE REPORT
Year
: 2021  |  Volume : 10  |  Issue : 4  |  Page : 262--264

Ovarian torsion occurring nine days after ipsilateral dermoid cystectomy


Pauline Chang1, Nicholas Leyland2, Sarah Scattolon2 
1 Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada
2 Department of Obstetrics and Gynaecology, McMaster University, Hamilton, ON, Canada

Correspondence Address:
Dr. Sarah Scattolon
Department of Obstetrics and Gynaecology, McMaster University, 1280 Main St. West HSC 2F43, Hamilton, ON
Canada

Ovarian torsion (OT) is a gynecological emergency that requires prompt treatment and management. It is associated with risk factors such as ovarian cysts and prior pelvic surgery. Diagnosis and treatment require surgery to examine the adnexa, correct the torsion, and determine if cystectomy or oophorectomy are required. We reported the case of a 34-year-old woman who presented 9 days after a dermoid cystectomy with sudden onset abdominal pain. An ultrasound showed abnormal blood flow to the ovary. She then underwent a repeat laparoscopy revealing a necrotic and twisted ovary on the same side that had a cystectomy. The surgeons proceeded with a right oophorectomy. Following surgery, the patient reported no concerns with no ongoing bleeding or pain. OT can present in the short-term postoperatively to an ovarian cystectomy, likely as a result of mechanical forces secondary to structural changes of the ovary. The role for prophylaxis against OT is unclear in those with significant risk factors for torsion.


How to cite this article:
Chang P, Leyland N, Scattolon S. Ovarian torsion occurring nine days after ipsilateral dermoid cystectomy.Gynecol Minim Invasive Ther 2021;10:262-264


How to cite this URL:
Chang P, Leyland N, Scattolon S. Ovarian torsion occurring nine days after ipsilateral dermoid cystectomy. Gynecol Minim Invasive Ther [serial online] 2021 [cited 2022 Jul 5 ];10:262-264
Available from: https://www.e-gmit.com/article.asp?issn=2213-3070;year=2021;volume=10;issue=4;spage=262;epage=264;aulast=Chang;type=0