Bent Chris, Thomson Bryon, Kief-Garcia Monika
Department of Radiology, Riverside University Health System, 26520 Cactus Ave, Moreno Valley, CA 92555.
Radiol Case Rep. 2021 Apr 30;16(7):1646-1649. doi: 10.1016/j.radcr.2021.03.040. eCollection 2021 Jul.
Ovarian torsion (OT) is a medical emergency which can have significant clinical consequences. It is surgically treated by either detorsion with or without oophoropexy, or oophorectomy. In this report, a case of left OT is described after prior hysterectomy and bilateral prophylactic oophoropexy three years prior. The patient presented with progressive left flank and abdominal pain. The diagnosis of torsion was made using a combination of CT and MR imaging with confirmation at surgery and pathology. At laparoscopic surgery, the left ovary was found at the level of iliac crest posterior to the descending colon. The ovary was torsed with hemorrhagic infarction. It was successfully removed. The patient was discharged postoperative day one and is now free of symptoms and complaints. OT is rarely reported after hysterectomy and oophoropexy. This case demonstrates that OT should be kept in the differential even in patients post hysterectomy and/or oophoropexy.
卵巢扭转（OT）是一种医疗急症，可产生严重的临床后果。其手术治疗方式为扭转复位（可同时或不同时进行卵巢固定术）或卵巢切除术。在本报告中，描述了一例三年前曾行子宫切除术及双侧预防性卵巢固定术的患者发生左侧卵巢扭转的病例。患者出现进行性左侧胁腹和腹痛。通过CT和磁共振成像（MR）相结合进行扭转诊断，并经手术及病理证实。在腹腔镜手术中，发现左侧卵巢位于降结肠后方的髂嵴水平。卵巢发生扭转并伴有出血性梗死。卵巢被成功切除。患者术后第一天出院，目前无症状及不适主诉。子宫切除术和卵巢固定术后很少报道发生卵巢扭转。该病例表明，即使是子宫切除术后和/或卵巢固定术后的患者，也应将卵巢扭转列入鉴别诊断范围。
