Chang Pauline, Leyland Nicholas, Scattolon Sarah
Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
Department of Obstetrics and Gynaecology, McMaster University, Hamilton, ON, Canada.
Gynecol Minim Invasive Ther. 2021 Nov 5;10(4):262-264. doi: 10.4103/GMIT.GMIT_24_20. eCollection 2021 Oct-Dec.
Ovarian torsion (OT) is a gynecological emergency that requires prompt treatment and management. It is associated with risk factors such as ovarian cysts and prior pelvic surgery. Diagnosis and treatment require surgery to examine the adnexa, correct the torsion, and determine if cystectomy or oophorectomy are required. We reported the case of a 34-year-old woman who presented 9 days after a dermoid cystectomy with sudden onset abdominal pain. An ultrasound showed abnormal blood flow to the ovary. She then underwent a repeat laparoscopy revealing a necrotic and twisted ovary on the same side that had a cystectomy. The surgeons proceeded with a right oophorectomy. Following surgery, the patient reported no concerns with no ongoing bleeding or pain. OT can present in the short-term postoperatively to an ovarian cystectomy, likely as a result of mechanical forces secondary to structural changes of the ovary. The role for prophylaxis against OT is unclear in those with significant risk factors for torsion.
卵巢扭转（OT）是一种需要及时治疗和处理的妇科急症。它与卵巢囊肿和既往盆腔手术等危险因素相关。诊断和治疗需要通过手术检查附件、纠正扭转，并确定是否需要进行囊肿切除术或卵巢切除术。我们报告了一例34岁女性的病例，该患者在皮样囊肿切除术后9天出现突发腹痛。超声显示卵巢血流异常。随后她接受了再次腹腔镜检查，发现同侧曾行囊肿切除术的卵巢坏死且扭转。外科医生进行了右侧卵巢切除术。术后，患者报告无任何担忧，无持续出血或疼痛。OT可能在卵巢囊肿切除术后短期内出现，可能是卵巢结构改变继发机械力作用的结果。对于有显著扭转危险因素的患者，预防OT的作用尚不清楚。
