Huge Ovarian Cyst- A Case Report

  • Sunita Maharjan FCPS
  • Ganesh Dangal https://orcid.org/0000-0002-5834-5525
  • Aruna Karki Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Hema Pradhan Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal https://orcid.org/0000-0003-1508-2099
  • Ranjana Shrestha Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Kabin Bhattachan Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Nishma Bajracharya Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Kenusha Devi Tiwari Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Sonu Bharati Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal https://orcid.org/0000-0001-9780-2496
DOI: https://doi.org/10.46405/ejms.v2i2.216
Keywords: necrosis, laparotomy ovarian cyst, ovarian torsion

Abstract

Ovarian cyst torsion (also termed as adnexal torsion) refers to partial or complete rotation of the ovary and a portion of fallopian tube along with its supply to vascular pedicle. It occurs commonly in females of all age group, more on the right side (60%) and often with acute lower abdominal pain lasting for few hours up to 24 hours. Ovarian cyst torsion is one of the devastating conditions hampering blood supply of ovary which may lead to total necrosis of ovarian tissue like in our case. Delayed diagnosis and management can lead to various complications. Here, we present a case of 46 years old perimenopausal female, para 2, living 2 who presented to our emergency department with complain of sudden onset severe pain abdomen since morning. Emergency exploratory laparotomy was done due to high clinical suspicion of torsion based on previous ultrasound finding of ovarian cyst done a day prior to the presentation. On intraoperative finding, the cyst was already necrosed. Due to timely diagnosis and management by emergency laparotomy, anticipated complications were reduced.    

References

1. Abraham M, Keyser EA. Adnexal Torsion in Adolescents. OBSTETRICS AND GYNECOLOGY. 2019 Aug 1;134(2):E56-63.
2. Mishra VV, Nanda S, Nawal R, Choudhary S. Unusual presentation of twisted ovarian cyst. J Mi-life Health. 2016;7:31-3, IP: 27.34.20.157 doi: 10.4103/0976-7800.179174
3. Anteby SO, Schenker JG, Polishuk WZ. The value of laparoscopy in acute pelvic pain. Ann Surg 1975;181(4):484–6. https://doi.org/10.1002/bjs.1800731230
4. Huchon C, Staraci S, Fauconnier A. Adnexal torsion: a predictive score for pre-operative diagnosis. Hum Reprod.2010;25(9):2276-80. https://doi.org/10.1093/humrep/deq173
5. Rody A, Jackisch C, Klockenbusch W, Heinig J, Coenen-Worch V, Schneider HP. The conservative management of adnexal torsion- a case-report and review of the literature. Eur J Obstet Gynecol Reprod Biol. 2002;101:83-6.https://doi.org/10.1016/S0301-2115(01)00518-8
6. Warner BM, Kuhn JC, Barr LL. Conservative management of large ovarian cysts in children: the value of serial pelvic ultrasonography. Surgery.1992;152:456–61 PMID: 1411947
7. Nasiri A, Rahimi S, Tomlinson E. Ovarian Torsion in Pregnancy: A Case Report. Gynecol Obstet Case Rep. 2017;3:2. DOI:10.21767/2471-8165.1000051
8. Chen HE, Georgiou C. Ovarian torsion in a 22-year old nulliparous woman. AMSJ. 2012;3 (1):58-60. https://ro.uow.edu.au/ihmri/369
9. Taskin O, Birincioglu M, Aydin A, Buhur A, Burak F, Yilmaz I, et al. The effect of twisted ischemic adnexa managed by detorsion on ovarian viability and histology: an ischemia reperfusion rodent model. Hum Reprod. 1998;13(10):2823-7 doi: 10.1093/humrep/13.10.2823.
10. Balasubramaniam D, Duraisamy KY, Ezhilmani M. Laparoscopic Detorsion and Fertility Preservation in Twisted Ischemic Adnexa–A Single-Center Prospective Study. Gynecol Minim Invasive Ther. 2020;9(1):24. PMID: 32090009 doi: 10.4103/GMIT.GMIT_20_19
Published
2020-11-07
How to Cite
1.
Maharjan S, Dangal G, Karki A, Pradhan H, Shrestha R, Bhattachan K, Bajracharya N, Tiwari KD, Bharati S. Huge Ovarian Cyst- A Case Report. Europasian J Med Sci. [Internet]. 2020Nov.7 [cited 2024May16];2(2):100-3. Available from: https://www.europasianjournals.org/ejms/index.php/ejms/article/view/216
Issue
Vol 2 No 2 (2020): EJMS | July - December Issue 4
Section
Case Reports

Copyright (c) 2020 Author(s)

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

All articles published in EJMS are licensed under the Creative Commons Attribution 4.0 International License (CC-BY 4.0). The author(s) as the copyright holder will retain the ownership of the copyrights without any restrictions for their content under the CC-BY 4.0 license, and allow others to copy, use, print, share, modify, and distribute the content of the article even in commercial purpose as long as the original authors and the journal are properly cited. No permission is required from the author/s or the publishers. Appropriate attribution can be provided by simply citing the original article.

On behalf of all the authors, the corresponding author is responsible for completing and returning the agreement form to the editorial office. More information about the terms and conditions, privacy policies, and copyrights can be found on the webpage of the Creative Commons license privacy policy. https://creativecommons.org/licenses/by/4.0/

Most read articles by the same author(s)