A giant ovarian cyst torsion: Case report

作者全名：He, Hongju

作者地址：[He, Hongju] Chongqing Med Univ, Dept Obstet & Gynecol, Affiliated Hosp 2, 76 Lin Jiang Rd, Chongqing, Peoples R China

通信作者：He, HJ (通讯作者)，Chongqing Med Univ, Dept Obstet & Gynecol, Affiliated Hosp 2, 76 Lin Jiang Rd, Chongqing, Peoples R China.

来源：MEDICINE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001201698900054

JCR分区：Q2

影响因子：1.3

年份：2024

卷号：103

期号：15

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结束页：　

文献类型：Article

关键词：adnexal torsion; case report; emergency surgery; gynecological acute abdomen; ovarian cyst torsion

摘要：Introduction: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.Patient concerns: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.Diagnosis:Giant ovarian cyst torsion.Interventions:Surgical intervention with exploratory laparotomy was performed immediately.Outcomes: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.Conclusion: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.

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