A rare cause of acute abdomen: Ovarian torsion due to dermoid cyst

Abstract

Dermoid cysts are one of the most common causes of ovarian torsion. The causes of acute abdominal pain are mostly caused by the diagnosis of acute appendicitis, acute pancreatitis, and mesenteric ischemia, and the incidence of ovarian torsion is not known exactly. Although ovarian torsion is very rare, it ranks first among the indications for gynecological emergency surgery. A rare case of a non-ruptured dermoid cyst causing ovarian torsion in the emergency room is presented. '+st+' Rossi BV, Ference EH, Zurakowski D, Scholz S, Feins NR, Chow JS et al. The clinical presentation and surgical management of adnexal torsion in the pediatric and adolescent population. J Pediatr Adolesc Gynecol. 2012;25(2):109-13. doi: 10.1016/j.jpag.2011.10.006. DOI: https://doi.org/10.1016/j.jpag.2011.10.006 2)Balci O, Energin H, Görkemli H, Acar A. Management of adnexal torsion: a 13-year experience in single tertiary center. J Laparoendosc Adv Surg Tech A. 2019;29(3):293-7. doi: 10.1089/lap.2018.0307. DOI: https://doi.org/10.1089/lap.2018.0307 Abdullah M, Firmansyah MA. Diagnostic approach and management of acute abdominal pain. Acta Med Indones. 2012;44(4):344-50. Bridwell RE, Koyfman A, Long B. High risk and low prevalence diseases: Ovarian torsion. Am J Emerg Med. 2022;56:145-50. doi: 10.1016/j.ajem.2022.03.046. DOI: https://doi.org/10.1016/j.ajem.2022.03.046 Sasaki KJ, Miller CE. Adnexal torsion: review of the literature. J Minim Invasive Gynecol. 2014;21(2):196-202. doi: 10.1016/j.jmig.2013.09.010. DOI: https://doi.org/10.1016/j.jmig.2013.09.010 Schmeler KM, Mayo-Smith WW, Peipert JF, Weitzen S, Manuel MD, Gordinier ME. Adnexal masses in pregnancy: surgery compared with observation. Obstet Gynecol. 2005;105(5 Pt 1):1098-103. doi: 10.1097/01.AOG.0000157465.99639.e5. DOI: https://doi.org/10.1097/01.AOG.0000157465.99639.e5 Rathore R, Sharma S, Arora D. Clinicopathological Evaluation of 223 Cases of Mature Cystic Teratoma, Ovary: 25-Year Experience in a Single Tertiary Care Centre in India. J Clin Diagn Res. 2017;11(4):EC11-4. doi: 10.7860/JCDR/2017/23909.9612. DOI: https://doi.org/10.7860/JCDR/2017/23909.9612 Kanwall D, Khalil S, Attia K. Intrauterine ovarian dermoid cyst complicated by torsion: an uncommon presentation of abdominal mass in a neonate. BJR Case Rep. 2021;8(1):20210137. doi: 10.1259/bjrcr.20210137. DOI: https://doi.org/10.1259/bjrcr.20210137 Kwon HJ. Torsion of ovarian teratoma in a child before menarche. J Pediatr Surg Case Rep. 2022;77:102170. doi: 10.1016/j.epsc.2021.102170. DOI: https://doi.org/10.1016/j.pupt.2022.102170 Anders JF, Powell EC. Urgency of evaluation and outcome of acute ovarian torsion in pediatric patients. Arch Pediatr Adolesc Med. 2005;159(6):532-5. doi: 10.1001/archpedi. DOI: https://doi.org/10.1001/archpedi.159.6.532 Oelsner G, Cohen SB, Soriano D, Admon D, Mashiach S, Carp H. Minimal surgery for the twisted ischaemic adnexa can preserve ovarian function. Hum Reprod. 2003;18(12):2599-602. doi: 10.1093/humrep/deg498. DOI: https://doi.org/10.1093/humrep/deg498 Ghandehari H, Kahn D, Glanc P. Ovarian torsion: time limiting factors for ovarian salvage. Emerg Med (Los Angel). 2015;5(5):273. doi: 10.4172/2165-7548.1000273. DOI: https://doi.org/10.4172/2165-7548.1000273 Copyright (c) 2023 Hatice Şeyma Akça, Dilek Atik, Fulya Köse This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.