Ovarian Torsion in Patients With Polycystic Ovary Syndrome Without Ovulation Induction or an Adnexal Mass: A Report of Two Cases.

Ovarian torsion is a gynaecological emergency, often linked with adnexal masses or cysts. Nonetheless, emerging reports indicate that torsion may also occur in polycystic ovary syndrome (PCOS), even in the absence of overt structural abnormalities. We present two cases of ovarian torsion in women with PCOS, neither of whom had large cysts, masses, or prior ovulation induction. These cases emphasize the need for heightened clinical suspicion when evaluating lower abdominal pain in PCOS patients. Incorporating imaging findings, surgical interventions, and a review of current literature, we aim to reinforce awareness of this uncommon but critical scenario.