Torsion of normal adnexa in a 31-year-old woman: A case report and literature review

Abstract

It is known that a large ovarian cyst will likely cause torsion. However, normal adnexal torsion is rare and occurs in premenarchal girls in most cases. This is a case of a reproductive woman. A 31-year-old woman suffering from acute abdominal pain in the lower and right side consulted her gynecologist. The next day she had a computed tomography performed and was suspected of ovarian torsion. She did not have fever, nausea, or leukocytosis, but her abdominal pain persisted. Diagnostic laparoscopy was performed and showed torsion of the right fallopian tube, which was swollen and looked like a hydrosalpinx with a normal ovary. We did detorsion and excision of the right tube. However, pathological findings showed that the right tube was not a hydrosalpinx but was swollen due to blood stasis. We determined that this case was torsion of normal adnexa. In such cases, diagnostic laparoscopy is very effective.

Synchronous Bilateral Torsion of Nonpathological Ovaries in an Adolescent Girl with Unilateral Recurrence

“…Sometimes nonpathological fallopian tubes can also undergo torsion. [ 4 ] Other cases of bilateral ovarian torsion in adolescent girls have also been reported but all in pathological ovaries. [ 5 , 6 ]…”

“…The risk of recurrence of ovarian torsion is around 2%–12%, being higher in nonpathological ovarian torsion. [ 4 ] Recurrent torsion of the ovary as early as 9 days after the first surgery has been reported in the literature. [ 8 ] We did not perform oophoropexy during the first surgery as it is not a standard of treatment to prevent recurrent ovarian torsion.…”