Kumari Anjali, Mishra Gaurav V, Parihar Pratapsingh, Dudhe Sakshi S, Bhangale Paritosh N, Agrawal Rakshanda, Shinde Dhananjay
Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Aug 22;16(8):e67507. doi: 10.7759/cureus.67507. eCollection 2024 Aug.
Ovarian torsion is a critical gynecological emergency that presents with sudden-onset abdominal pain and requires immediate intervention to prevent irreversible ovarian damage. This case report describes a 25-year-old female who presented with acute right lower quadrant pain, which had escalated to excruciating levels over the past 45 minutes, accompanied by persistent nausea and vomiting. She had no fever, vaginal bleeding, or dysuria, and her urine pregnancy test was negative. A physical examination revealed significant tenderness and guarding in the right lower abdomen, with no evidence of organomegaly or abnormal pelvic findings. Imaging studies, including ultrasound, confirmed the diagnosis of a complete ovarian torsion with associated necrosis. The patient underwent successful laparoscopic surgery, which involved the removal of the necrotic ovary and affected fallopian tube. Postoperative recovery was uneventful, and the patient fully recovered within a week. This case underscores the importance of early diagnosis and surgical intervention in managing ovarian torsion to preserve ovarian function and prevent complications.
卵巢扭转是一种严重的妇科急症，表现为突发腹痛，需要立即干预以防止卵巢发生不可逆损伤。本病例报告描述了一名25岁女性，她出现急性右下腹疼痛，在过去45分钟内疼痛加剧至难以忍受的程度，伴有持续性恶心和呕吐。她没有发热、阴道出血或排尿困难，尿妊娠试验为阴性。体格检查发现右下腹有明显压痛和肌卫，未发现器官肿大或盆腔异常。包括超声在内的影像学检查确诊为完全性卵巢扭转伴坏死。患者接受了成功的腹腔镜手术，切除了坏死的卵巢和受累的输卵管。术后恢复顺利，患者在一周内完全康复。本病例强调了早期诊断和手术干预在处理卵巢扭转以保留卵巢功能和预防并发症方面的重要性。
