DIAGNOSING OVARIAN TORSION IN THE EMERGENCY DEPARTMENT: A CASE REPORT AND LITERATURE REVIEW
- Author:
Maryam Abu Bakar
1
;
Maryam Abu Bakar
2
;
Afifah Sjamun Sjahid
1
;
Afifah Sjamun Sjahid
2
;
Asza Azia Mohd Saáid
1
;
Asza Azia Mohd Saáid
2
;
Mimi Azliha Abu Bakar
1
;
Mimi Azliha Abu Bakar
2
;
Ahmad Akram Omar
3
;
Ahmad Akram Omar
2
Author Information
- Publication Type:Case Reports
- Keywords: Ovarian Torsion; Emergency; Female
- From: Journal of University of Malaya Medical Centre 2025;28(1):85-88
- CountryMalaysia
- Language:English
- Abstract: DIAGNOSING OVARIAN TORSION IN THE EMERGENCY DEPARTMENT: A CASE REPORT AND LITERATURE REVIEW:Diagnosing acute abdomen in emergency department setting, especially in women of childbearing age, is challenging. The patient may present with non-specific complaints. We were presented with a case of a 28-year-old lady with no known medical illness complaining of sudden onset left-sided abdominal pain. Multiple analgesics were given, but her pain persisted. Bedside ultrasonography was performed and noted a multiloculated cyst over the left ovary, with the largest measuring 4 x 4 cm. She then underwent laparoscopic left salpingo-oophorectomy, revealing an engorged, gangrenous left fallopian tube and the left ovarian cyst was twisted three times. Histopathological examination confirmed a left ovarian haemorrhagic twisted ovarian cyst with a paratubal cyst. This case concludes that acute abdominal pain in women of childbearing age requires prompt and thorough investigation. Clinicians should consider several potential diagnoses, including ovarian torsion.
- Full text:2026082718145350564DIAGNOSING OVARIAN TORSION I.pdf
