Recurrent ovarian torsion: a case report

Year 2013, Volume: 2 Issue: 4, 174 - 176, 13.04.2014

Ozlem Bozoklu Akkar , Savas Karakus , Caglar Yildiz , Ayse Imir Yenicesu , Meral Cetin

Abstract

Abstract

In this case report, we present a case of recurrent ovarian torsion in the absence of ovarian mass or cyst in a young woman with loose uterine ligaments observed during surgical exposure. During first episode, left ovarian detorsion and the plication of the utero-ovarian ligament was performed. In the second episode, detorsion of the left adnexa and left oophoropexy was performed. Right oophoropexy was also added for prophylaxis. Ovarian torsion must be kept in mind during differential diagnosis in any case of an adult female patient presenting with lower quadrant abdominal pain, especially if there is a history of surgery for ovarian torsion with or without surgical fixation.

Keywords: Ovarian torsion, recurrence, oophoropexy, ovary

Özet

Bu olgu sunumunda, genç bir kadında kitle veya kist olmadan gelişen ve tekrarlayan yumurtalık torsiyonu ele alındı. Cerrahi gözlemde uterin ligamentlerin gevşek olduğu gözlendi. Birinci atakta, ovaryen detorsiyon ve utero-ovaryen ligament plikasyonu yapıldı. İkinci atakta, sol adneksin detorsiyonu ve sol ooforopeksi ve ilave olarak profilaksi için sağ ooforopeksi yapıldı. Yumurtalık torsiyonu, cerrahi fiksasyon yapılmış olsa da özellikle yumurtalık torsiyonu öyküsü varlığında, alt kadran karın ağrısı ile başvuran erişkin kadın hastalarda ayırıcı tanılar arasında mutlaka düşünülmelidir.

Anahtar sözcükler: Yumurtalık torsiyonu, tekrarlayıcı, ooforopeksi, yumurtalık

Keywords

Ovarian torsion, recurrence, oophoropexy, ovary

References

• Hibbard LT. Adnexal torsion. Am J Obstet Gynecol. 1985 Jun 15;152(4):456-61. Rollene N, Nunn M, Wilson T, Coddington C. Recurrent ovarian torsion in a premenarchal adolescent girl: contemporary surgical management. Obstet Gynecol. 2009 Aug;114(2 Pt 2):422-4.
• Thakore SS, Chun MJ, Fitzpatrick K. Recurrent ovarian torsion due to paratubal cysts in an adolescent female. J Pediatr Adolesc Gynecol. 2012 Aug;25(4):e85-7. Weitzman VN, DiLuigi AJ, Maier DB, Nulsen JC. Prevention of recurrent adnexal torsion. Fertil Steril. 2008 Nov;90(5):2018.e1-3.
• Altman B, Balofsky A, Levin I. Recurrent ovarian torsion following oophoropexy. J Gynecol Surg. 2011 Dec;27(4):281-3.
• Cass DL. Ovarian torsion. Semin Pediatr Surg. 2005 May;14(2):86-92.
• Sheizaf B, Ohana E, Weintraub AY. "Habitual adnexal torsions"--recurrence after two oophoropexies in a prepubertal girl: a case report and review of the literature. J Pediatr Adolesc Gynecol. 2013 Jun;26(3):e81-4.
• Fuchs N, Vaknin Z, Berger S, Pansky M. Recurrent torsion of a noncystic adnexa after plication of the utero-ovarian ligament. J Minim Invasive Gynecol. 2012 MayJun;19(3):286-7.
• Simsek E, Kilicdag E, Kalayci H, Yuksel Simsek S, Parlakgumus A. Repeated ovariopexy failure in recurrent adnexal torsion: combined approach and review of the literature. Eur J Obstet Gynecol Reprod Biol. 2013 Oct;170(2):305-8.