Laparoscopic detorsion of twisted ovary.
An 18-year-old female presented with a 6-day history of lower abdominal pain. Transabdominal ultrasonography revealed a right adnexal cyst measuring 9 cm. Laparoscopic examination demonstrated a 10-cm right paratubal cyst and a 5-cm right ovarian torsion with gangrenous discoloration. After removal of the right paratubal cyst, untwisting of the right ovary was performed. The postoperative period was uneventful. During follow-up, ultrasonography revealed restoration of right ovarian size with follicular growth. Arterial and venous blood flows were seen on Doppler examination. The right ovary appeared to be completely viable through a second-look laparoscopic examination. A twisted ovary may be completely restored with conservative management.
Li
Yiu-Tai
YT
Department of Obstetrics and Gynecology, Kuo General Hospital, Tainan, Taiwan, ROC. drgynobs@yam.com
Kuon
Lung-Ching
LC
Lee
Po-Ning
PN
Kuo
Tsung-Cheng
TC
D000293:Adolescent; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010049:Ovarian Diseases / Q000601:surgery*; D014102:Torsion Abnormality