{Reference Type}: Case Reports
{Title}: A giant ovarian cyst torsion: Case report.
{Author}: Hongju H;
{Journal}: Medicine (Baltimore)
{Volume}: 103
{Issue}: 15
{Year}: 2024 Apr 12
{Factor}: 1.817
{DOI}: 10.1097/MD.0000000000033283
{Abstract}: BACKGROUND: Adnexal torsion (AT) is one of a gynecological condition characterized by an acute abdomen. Clinically, a giant ovarian cyst torsion with a diameter of 30 cm is rare. Therefore, an accurate and timely diagnosis and treatment are important.
METHODS: A 25-year-old unmarried female, presented to the emergency department with intermittent abdominal cramps after a sudden change in position. Considering her symptoms and examination, ultrasound, and magnetic resonance imaging (MRI) results, ovarian cyst torsion was suspected.
METHODS: Giant ovarian cyst torsion.
METHODS: Surgical intervention with exploratory laparotomy was performed immediately.
RESULTS: Intraoperatively, we found a 30-cm left ovarian cyst with a clear root. The left fallopian tube, infundibulopelvic ligament, and ovarian ligament were twisted 900 degrees. Finally, the pathological report revealed mucinous cystadenoma.
CONCLUSIONS: Giant ovarian cyst torsion with a diameter of 30 cm is rare. Considering her symptoms and examination, ultrasound, and MRI results, ovarian cyst torsion was suspected. The patient was successfully treated using emergency surgery.