TITLE:
Laparoscopic Management of a Large Ovarian Cyst Twist in a 14-Year Old Young Girl in Emergency: A Case Report
AUTHORS:
Michèle Florence Mendoua, Serge Nyada, Basile Essola, Marcel Gérardin Mbarga, Dominique Noah Noah
KEYWORDS:
Torsion, Ovarian Cyst, Teenager, Laparoscopy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.12,
December
30,
2022
ABSTRACT: The
diagnosis and the treatment of twisted ovarian tumors are
still challenging, especially in adolescent girls. We describe an adolescent
girl with a twisted ovarian cyst, in whom emergent laparoscopic surgery was
successful. She visited us due to severe abdominal pain. Ultrasound revealed a large
cystic mass, indicative of an ovarian cyst. Laparoscopy revealed a large left
ovarian cyst twisted on its axis. We punctured the cyst and detorsed it. The lessons learned here are: sudden-onset abdominal pain of adolescent associated
with nausea and vomiting is strongly suggestive of a ovarian cyst torsion;
ultrasound should be performed immediately, if ovarian cyst torsion is
suspected, timely intervention with diagnostic laparoscopy is indicated, a
minimally invasive surgical approach is recommended to preserve the adnexal
structures and ovarian function.