Complication of laparoscopic detorsion of adnexal mass.
Detorsion of an ischemic adnexal mass has recently been advocated for most cases of twisted adnexa. Usually, the affected ovary regains some or all of its vitality and function. However, when the ovary is completely necrotic, it may form an abscess if it contains tissue components that cannot be eliminated by the peritoneal immune system. We report a case of pelvic abscess formation in a detorsed ovary that previously contained an unsuspected dermoid cyst. We call for an extensive inspection of the detorsed ovary before ending the laparoscopic operation, and if it remains necrotic and is suspected of containing a dermoid cyst, it should be removed promptly.
Aharoni
A
A
Gynecology and Obstetrics Department, Bnai-Zion Medical Center and the Bruce Rappaport Faculty of Medicine, Technion Institute of Technology, Haifa, Israel. ari1010@yahoo.com
Leibovitz
Z
Z
Levitan
Z
Z
Degani
S
S
Ohel
G
G
D018784:Abdominal Abscess / Q000209:etiology* / Q000601:surgery; D000291:Adnexal Diseases / Q000150:complications* / Q000601:surgery; D000328:Adult; D003884:Dermoid Cyst / Q000150:complications*; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D009336:Necrosis; D010053:Ovary / Q000098:blood supply / Q000473:pathology* / Q000601:surgery; D011183:Postoperative Complications; D012086:Reoperation; D014102:Torsion Abnormality / Q000150:complications* / Q000601:surgery