Abuelhassan Abbas
Obstetrics and Gynaecology, Ashford and St. Peter's Hospitals NHS Foundation Trust, Surrey, GBR.
Cureus. 2025 Jul 23;17(7):e88608. doi: 10.7759/cureus.88608. eCollection 2025 Jul.
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.
卵巢扭转是一种妇科急症，常与附件肿物或囊肿相关。然而，新出现的报道表明，扭转也可能发生在多囊卵巢综合征（PCOS）患者中，即使没有明显的结构异常。我们报告两例PCOS患者发生卵巢扭转的病例，这两名患者均没有大囊肿、肿物或既往促排卵史。这些病例强调，在评估PCOS患者的下腹部疼痛时，需要提高临床怀疑度。结合影像学检查结果、手术干预措施以及对当前文献的回顾，我们旨在加强对这种罕见但关键情况的认识。
