A Case of Torsion in an Otherwise-Normal Ovary with a Giant Hematosalpinx Larger than Enlarged Ovary: Utilization of Diagnostic Laparoscopy for the Accurate Diagnosis

We report a case of torsion in an otherwise-normal ovary with a giant hematosalpinx. A 23-year-old woman presented with complaints of abdominal pain and nausea. At initial visit, there was few abnormal findings of imaging tests, and we made a diagnosis of ovarian hemorrhage. Three days later, she ca...

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Bibliographic Details
Published in:Case reports in obstetrics and gynecology 2021-08, Vol.2021, p.1-5
Main Authors: Yu, Sae, Yamanoi, Koji, Sunada, Masumi, Kitamura, Sachiko, Horikawa, Naoki, Chigusa, Yoshitsugu, Yamaguchi, Ken, Horie, Akihito, Hamanishi, Junzo, Kondoh, Eiji, Mandai, Masaki
Format: Article
Language:English
Subjects:
Abdomen
Age
Ascites
Blood
Case Report
Case reports
Cysts
Fallopian tubes
Gynecological surgery
Hematoma
Hemorrhage
Laparoscopic surgery
Laparoscopy
Medical diagnosis
Nausea
Ovaries
Pain
Sexual intercourse
Uterus
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Summary:We report a case of torsion in an otherwise-normal ovary with a giant hematosalpinx. A 23-year-old woman presented with complaints of abdominal pain and nausea. At initial visit, there was few abnormal findings of imaging tests, and we made a diagnosis of ovarian hemorrhage. Three days later, she came back with increased symptoms, and we detected the mass of a complex solid cystic structure with a unilocular cyst much larger than solid component. A diagnostic laparoscopy was performed immediately, and we could make a diagnosis of torsion in an otherwise-normal ovary with a giant hematosalpinx. We performed a salpingectomy and could preserve her ovary. This is the first case of torsion in an otherwise-normal ovary with a giant hematosalpinx which enlarged to a greater extent than the ovary.
ISSN:2090-6684
2090-6692
DOI:10.1155/2021/1371611