Baradwan Saeed, Sendy Wed, Sendy Sameer
Department of Obstetrics and Gynecology, Women's Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.
Faculty of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
J Med Case Rep. 2018 Jun 8;12(1):159. doi: 10.1186/s13256-018-1698-8.
Of all patients undergoing emergency surgery for acute pelvic pain, approximately 2.7% of cases are caused by ovarian torsion. We report a rare occurrence of bilateral ovarian torsion in a young woman.
We report the case of a 20-year-old white woman who presented with sudden onset of severe lower abdominal pain and nausea. Similar episodes of pain were experienced in the previous few months and diagnosed as a case of bilateral ovarian cyst. She was found to have a bilateral ovarian torsion caused by adnexal mass. She was treated by laparoscopic detorsion, left salpingo-oophorectomy, and right cystectomy.
This case highlights the need to perform an early laparoscopic surgical intervention in cases of bilateral ovarian mass because of the greater chance for their torsion and subsequent effects on fertility.
在所有因急性盆腔疼痛接受急诊手术的患者中，约2.7%的病例是由卵巢扭转引起的。我们报告了一名年轻女性罕见的双侧卵巢扭转病例。
我们报告了一名20岁白人女性的病例，她突然出现严重的下腹部疼痛和恶心。在过去几个月里曾有过类似的疼痛发作，并被诊断为双侧卵巢囊肿。她被发现是由附件肿块导致双侧卵巢扭转。她接受了腹腔镜扭转复位术、左侧输卵管卵巢切除术和右侧囊肿切除术。
该病例强调了对于双侧卵巢肿块患者需要尽早进行腹腔镜手术干预，因为其发生扭转的可能性更大，且对生育有后续影响。
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