Torsion of Para-Ovarian Cyst Resulting in Secondary Torsion of the Fallopian Tube: A Cause of Acute Abdomen
Published: May 1, 2014 | DOI: https://doi.org/10.7860/JCDR/2014/.4386
Jaya Kundan Gedam, Disha Andhiwal Rajput, Minal V. Bhalerao
1. Associate Professor, Department of Obstetrics & Gynaecology, ESI-PGIMSR, MGM Hospital, Parel, Mumbai, Maharashtra, India.
2. Associate Professor, Department of Obstetrics & Gynaecology, ESI-PGIMSR, MGM Hospital, Parel, Mumbai, Maharashtra, India.
3. Senior Resident, Department of Obstetrics & Gynaecology, ESI-PGIMSR, MGM Hospital, Parel, Mumbai, Maharashtra, India.
Correspondence Address :
Dr. Jaya Kundan Gedam,
ESI-PGIMSR, MGM Hospital, Parel, Mumbai-12, Maharashtra, India.
Phone: 08652812224, 09920353513, E-mail: jayagedam@gmail.com
Abstract
A 32-year-old woman presented with abdominal pain in the left lower quadrant, of one day’s duration. Ultrasonography of the abdomen revealed a cystic structure in the right adnexa, probably with torsion. Computerized tomography of abdomen and pelvis showed a large pelvic cyst which arose most likely from the left ovary. An urgent laparotomy was done, which however showed a twisted para-ovarian cyst with a twisted fallopian tube on the left side. The para-ovarian cyst was removed along with left sided fallopian tube and the patient made an uneventful recovery. Torsion of a para-ovarian cyst and fallopian tube is rare, but it should be considered in the differential diagnosis of acute abdomen in women who are in the reproductive age group.
Keywords
Twisted, Salpinx, Abdominal Pain, Para-ovarian cyst