Ovarian torsion occurring nine days after ipsilateral dermoid cystectomy

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 oopho...

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Autores principales: Pauline Chang, Nicholas Leyland, Sarah Scattolon
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Lenguaje:EN
Publicado: Wolters Kluwer Medknow Publications 2021
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Acceso en línea:https://doaj.org/article/7ee51ce1b64e429dbea4627d42bc90dd
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spelling oai:doaj.org-article:7ee51ce1b64e429dbea4627d42bc90dd2021-11-12T10:10:38ZOvarian torsion occurring nine days after ipsilateral dermoid cystectomy2213-307010.4103/GMIT.GMIT_24_20https://doaj.org/article/7ee51ce1b64e429dbea4627d42bc90dd2021-01-01T00:00:00Zhttp://www.e-gmit.com/article.asp?issn=2213-3070;year=2021;volume=10;issue=4;spage=262;epage=264;aulast=Changhttps://doaj.org/toc/2213-3070Ovarian 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.Pauline ChangNicholas LeylandSarah ScattolonWolters Kluwer Medknow Publicationsarticlecystectomygynecological surgerytorsionGynecology and obstetricsRG1-991ENGynecology and Minimally Invasive Therapy, Vol 10, Iss 4, Pp 262-264 (2021)
institution DOAJ
collection DOAJ
language EN
topic cystectomy
gynecological surgery
torsion
Gynecology and obstetrics
RG1-991
spellingShingle cystectomy
gynecological surgery
torsion
Gynecology and obstetrics
RG1-991
Pauline Chang
Nicholas Leyland
Sarah Scattolon
Ovarian torsion occurring nine days after ipsilateral dermoid cystectomy
description 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.
format article
author Pauline Chang
Nicholas Leyland
Sarah Scattolon
author_facet Pauline Chang
Nicholas Leyland
Sarah Scattolon
author_sort Pauline Chang
title Ovarian torsion occurring nine days after ipsilateral dermoid cystectomy
title_short Ovarian torsion occurring nine days after ipsilateral dermoid cystectomy
title_full Ovarian torsion occurring nine days after ipsilateral dermoid cystectomy
title_fullStr Ovarian torsion occurring nine days after ipsilateral dermoid cystectomy
title_full_unstemmed Ovarian torsion occurring nine days after ipsilateral dermoid cystectomy
title_sort ovarian torsion occurring nine days after ipsilateral dermoid cystectomy
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/7ee51ce1b64e429dbea4627d42bc90dd
work_keys_str_mv AT paulinechang ovariantorsionoccurringninedaysafteripsilateraldermoidcystectomy
AT nicholasleyland ovariantorsionoccurringninedaysafteripsilateraldermoidcystectomy
AT sarahscattolon ovariantorsionoccurringninedaysafteripsilateraldermoidcystectomy
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