Bilateral ovarian torsion with ovarian fusion in the setting of polycystic ovarian syndrome: A case report

Background: Adnexal torsion requires a high degree of suspicion in women presenting with pelvic pain. Polycystic ovaries are an infrequent cause of ovarian torsion but should be considered in cases without adnexal masses. Case: A 25-year-old woman had a delayed diagnosis of adnexal torsion due to po...

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Main Authors: Rachel E. Warwar (Author), Grant E. Schmidt (Author)
Format: Book
Published: Elsevier, 2019-07-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Rachel E. Warwar  |e author 
700 1 0 |a Grant E. Schmidt  |e author 
245 0 0 |a Bilateral ovarian torsion with ovarian fusion in the setting of polycystic ovarian syndrome: A case report 
260 |b Elsevier,   |c 2019-07-01T00:00:00Z. 
500 |a 2214-9112 
500 |a 10.1016/j.crwh.2019.e00129 
520 |a Background: Adnexal torsion requires a high degree of suspicion in women presenting with pelvic pain. Polycystic ovaries are an infrequent cause of ovarian torsion but should be considered in cases without adnexal masses. Case: A 25-year-old woman had a delayed diagnosis of adnexal torsion due to polycystic ovaries despite typical presentation and imaging. A unique finding was ovarian fusion; separation was required in order to resolve the torsion. Oophoropexy was performed to prevent the recurrence of torsion. Conclusion: Ovarian torsion should be suspected in the setting of abdominal pain, enlarged polycystic ovaries, and absent adnexal blood flow on ultrasound. This case demonstrates the resilience of the adnexa and the highly variable time to necrosis in the setting of torsion. Keywords: Ovarian torsion, Polycystic ovarian syndrome, Oophoropexy 
546 |a EN 
690 |a Surgery 
690 |a RD1-811 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
655 7 |a article  |2 local 
786 0 |n Case Reports in Women's Health, Vol 23, Iss , Pp - (2019) 
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856 4 1 |u https://doaj.org/article/2c7f15d4f3d147e2a18ecd379b97776a  |z Connect to this object online.