Ovarian Ligament Plication for Recurrent Adnexal Torsion

RangaramPranuthi,; Rao, GundabattulaSirisha; Bharathi, BayyarapuVijaya; PochirajuManjula,

doi:10.1089/gyn.2014.0092

Cited by 2 publications

(6 citation statements)

References 11 publications

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“…Ovarian torsion accounts for 2.5%–5% of all gynecological emergencies in the reproductive age group females. [ 1 ] Usually, the right infundibulopelvic ligament is longer and the sigmoid colon restricts the left ovarian mobility. Recurrent right ovarian torsion is more common than the left side.…”

Section: Discussionmentioning

confidence: 99%

“…[ 3 4 ] Rangaram et al . [ 1 ] reported a case of left adnexal torsion associated with left corpus luteal cyst. In our case, recurrent abdominal pain was also on the left side and left ovarian ligament was elongated.…”

Section: Discussionmentioning

confidence: 99%

“…Rangaram et al . [ 1 ] reported a case of torsion in a patient with an elongated hypermobile ovarian ligament in the absence of an adnexal cyst. Adnexal detorsion with bilateral ovarian ligament plication was done.…”

Section: Discussionmentioning

confidence: 99%

“…Ovarian ligament plication is an adjunctive treatment in patients with ovarian torsion with the elongated ovarian ligament. [ 1 ] Utero-ovarian ligament plication for elongated and laxed ligament is an effective method for decreasing mobility of the ovary and subsequent risk of ovarian torsion. [ 2 ] Ovarian torsion is an emergency as, if left untreated, it may lead to ovarian necrosis.…”

Section: Introductionmentioning

confidence: 99%

“…[ 3 ] The majority of the cases of ovarian torsion occur in the presence of ovarian or para-ovarian masses. [ 1 ] We report a case of recurrent abdominal pain, especially after exercise, with elongated ovarian ligament and relief of pain with ovarian ligament plication in the absence of ovarian torsion or ovarian mass.…”

Section: Introductionmentioning

confidence: 99%

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Ovarian Ligament Plication as a Treatment for Patient with Elongated Ovarian Ligament with Recurrent Abdominal Pain in the Absence of Ovarian Torsion

Rai

Roy

Zangmo

et al. 2022

Gynecol Minim Invasive Ther

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Elongated ovarian ligament can lead to adnexal torsion. Several cases of ovarian torsion have been reported where the ovarian ligament was elongated, and ovarian detorsion and ovarian ligament plication were done. In our case, a young girl presented with recurrent left lower abdominal pain, especially after exercise, with normal ovaries found on ultrasound. Laparoscopy was performed given recurrent pelvic pain and found elongated left ovarian ligament with normal ovaries. Considering the possibility of recurrent torsion and detorsion of the ovary due to elongated left ovarian ligament, left ovarian ligament plication was done. The patient remained pain-free till 1 year of follow-up. No such case has been reported in the literature where the ovarian ligament plication was performed without torsion. Hence, elongated ovarian ligament could cause recurrent pelvic pain due to possible torsion, and a simple, easy procedure of ovarian ligament plication can help relieve pain.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Ovarian Ligament Plication as a Treatment for Patient with Elongated Ovarian Ligament with Recurrent Abdominal Pain in the Absence of Ovarian Torsion

Rai

Roy

Zangmo

et al. 2022

Gynecol Minim Invasive Ther

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Case of ovarian torsion-detorsion-ovarian and round ligament plication to save the ovary

Gangadharaiah,

Vykuntegowda,

Vijayalaxmi

et al. 2024

Int J Reprod Contracept Obstet Gynecol

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Adnexal torsion is defined as twisting of the ovary and/or tube around usually the utero-ovarian ligament and in case of the ovary the infundibulopelvic ligament. Ovarian torsion is seen in reproductive age group, mainly due to enlongated ovarian ligament. Recurrence is more uncommon. This article presents a case of young 23-year-old women presenting with acute pain abdomen, with scan showing ovarian torsion, an emergency laparoscopy was performed, 1 turn of left infundibulopelvic ligament was noted and detorsion performed along with plication of round and ovarian ligament and utero-ovarian ligament plication. This helps in preventing recurrent ovarian torsion, though there is no standard management to prevent recurrent ovarian torsion, plications to some extent prevents recurrent torsion and thus also preserving fertility of women.

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Ovarian Ligament Plication for Recurrent Adnexal Torsion

Cited by 2 publications

References 11 publications

Ovarian Ligament Plication as a Treatment for Patient with Elongated Ovarian Ligament with Recurrent Abdominal Pain in the Absence of Ovarian Torsion

Ovarian Ligament Plication as a Treatment for Patient with Elongated Ovarian Ligament with Recurrent Abdominal Pain in the Absence of Ovarian Torsion

Case of ovarian torsion-detorsion-ovarian and round ligament plication to save the ovary

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