Natural course of ovarian torsion after untwisting: A case report with radiographic imaging

Dmitry Fridman, Muhammad Faisal Aslam, Neekianund Khulpateea

Department of Obstetrics and Gynecology, Maimonides Medical Center, New York, USA.

DOI: 10.4236/ojog.2012.21007                

Abstract

Background: Radiographic studies largely contribute to prompt diagnosis of ovarian torsion, though post-operative changes are not described and might contribute to unnecessary intervention. Case: We report a case of ovarian torsion diagnosed based on clinical presentation and radiographic findings. The detorsion was successfully performed through laparosopic access. Subsequently patient presented for elective ultrasonography and MRI which diagnosed multicystic ovarian mass, attributed to hematoma which resolved spontaneously with no intervention in 3 weeks. Conclusion: Ovarian changes after detorsion consistent with development of hematoma may be benign and resolve spontaneously.

Keywords

Adnexal Torsion; Radiographic Imaging

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Oelsner, G., et al. (1993) Long-term follow-up of the twisted ischemic adnexa managed by detorsion. Fertility and Sterility, 60, 976-979.
[2]	Wagaman, R. and Williams, R.S. (1990) Conservative therapy for adnexal torsion. A case report. Journal of Reproductive Medicine, 35, 833-834.
[3]	Harkins, G. (2007) Ovarian torsion treated with untwisting: Second look 36 hours after untwisting. Journal of Minimally Invasive Gynecology, 14, 270. doi:10.1016/j.jmig.2006.10.006
[4]	Kamprath, S., et al. (1998) Laparoscopic adnexal preservation in a patient with complete torsion—A case report. European Journal of Obstetrics & Gynecology and Reproductive Biology, 78, 113-115. doi:10.1016/S0301-2115(97)00273-X
[5]	Li, Y.T., et al. (2005) Laparoscopic detorsion of twisted ovary. Journal of the Chinese Medical Association, 68, 595-598. doi:10.1016/S1726-4901(09)70100-5
[6]	Chang, H.C., Bhatt, S. and Dogra, V.S. (2008) Pearls and pitfalls in diagnosis of ovarian torsion. Radiographics, 28, 1355-1368. doi:10.1148/rg.285075130
[7]	Argenta, P.A., et al. (2000) Torsion of the uterine adnexa. Pathologic correlations and current management trends. Journal of Reproductive Medicine, 45, 831-836.
[8]	Galinier, P., et al. (2009) Ovarian torsion. Management and ovarian prognosis: A report of 45 cases. Journal of Pediatric Surgery, 44, 1759-1765. doi:10.1016/j.jpedsurg.2008.11.058
[9]	Dolgin, S.E., Lublin, M. and Shlasko, E. (2000) Maximizing ovarian salvage when treating idiopathic adnexal torsion. Journal of Pediatric Surgery, 35, 624-626. doi:10.1053/jpsu.2000.0350624