Torsion of Para-Ovarian Cyst Resulting in Secondary Torsion of the Fallopian Tube: A Cause of Acute Abdomen

Abstract

A 32-year-old woman, para one, presented to the Emergency Department with complaint of left lower abdominal pain of one day's duration. The pain was spasmodic, radiating to the back, and it was accompanied by giddiness and vomiting. There was no history of fever, fainting attacks, bowl or urinary complaints. She had a history of polymenorrhagia and dysmenorrhoea which had been present since the past two years. Her last menstrual period had occurred 13 days ago and she was not using any contraceptives. The patient's obstetric history included one live birth which had been delivered by lower segment caesarean section eight years ago.