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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Wolters Kluwer Medknow Publications
2021
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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) |
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cystectomy gynecological surgery torsion Gynecology and obstetrics RG1-991 |
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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 |
_version_ |
1718430998721462272 |