Asynchronous Bilateral Adnexal Torsion: A Case Report

• Published in: Curēus (Palo Alto, CA) Vol. 15; no. 5; p. e39370
• Main Authors: Nizam, Anjala, Ahmed, Huda, Paulose, Litty, Margossian, Haroutyoun
• Format: Journal Article
• Language: English
• Published: United States Cureus Inc 23.05.2023; Cureus
• Subjects: Abdomen; Blood; Case reports; Cysts; Emergency medical care; Fallopian tubes; Gynecology; Hemoglobin; Hormone replacement therapy; Laboratories; Laparoscopy; Ligaments; Menopause; Obstetrics/Gynecology; Ovaries; Ovulation; Pain; Pelvis; Ultrasonic imaging; Women; bilateral adnexal torsion; ovarian cystectomy; adnexal torsion; ovarian torsion; asynchronous bilateral ovarian torsion
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.39370

Adnexal torsion is a gynecological emergency that requires immediate surgical intervention to prevent permanent loss of the affected ovary. Here, we present a case of a 25-year-old female who presented to the emergency with a six-day history of lower abdominal pain. A computed tomography scan showed a clinical picture of ovarian torsion, hence, the patient underwent laparoscopic ovarian tissue-sparing right ovarian cystectomy with shortening of the right utero-ovarian ligament for a twisted right ovarian cyst. Intraoperatively, a left pelvic mass was seen sitting freely in the cul-de-sac, which was thought to be the left adnexa that possibly underwent complete torsion in the past, went unnoticed, and got amputated and separated from its pedicle. Postoperatively, the patient had a smooth recovery and was discharged within four days, in stable condition. Three months later, the patient began having her periods, though irregularly.