Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 15 , ISSUE 1 ( January-February, 2023 ) > List of Articles


Recurrent Ovarian Torsion in an Adolescent! A Rare Case Report and Review of Literature

Renuka Malik, Neha Pruthi Tandon, Ayushi Hada

Keywords : Acute abdomen in adolescent, Hotdog in a bun, Ovariopexy, Recurrent ovarian torsion

Citation Information : Malik R, Tandon NP, Hada A. Recurrent Ovarian Torsion in an Adolescent! A Rare Case Report and Review of Literature. J South Asian Feder Obs Gynae 2023; 15 (1):128-130.

DOI: 10.5005/jp-journals-10006-2179

License: CC BY-NC 4.0

Published Online: 19-04-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Background: Ovarian torsion is a surgical emergency that can affect future fertility. Ovariopexy can be done to prevent recurrent torsion. However, despite ovariopexy, recurrent torsion can occur. Case description: On September 17, 2021, at 12 a.m., a 17-year-old unmarried girl presented to the gynecological emergency department. She gave a history of having had a sudden-onset of severe lower abdomen pain since 1 day. The patient gave a history of having had a laparotomy done for ovarian torsion 1 year back. On reviewing her discharge papers, it was seen that the patient had undergone right oophorectomy with contralateral ovariopexy 1 year ago. A provisional diagnosis of ovarian torsion was made, and at laparotomy, a torted left ovary was seen. Ovarian detorsion with oophoropexy using a new technique (hotdog in a bun) was done. Postoperatively, an ultrasound at 6 weeks follow-up showed a normal detorsion. Postoperatively, after ultrasound at 6 weeks follow-up, the patient is having normal ovary with normal AMH levels. Conclusion: Recurrence of torsion can occur even after oophoropexy. Timely intervention is a must to preserve ovarian function and future fertility.

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