TITLE:
Ovarian Endometrioma Torsion: Two Cases Report at the Department of Gynecology, Angre Teaching Hospital, Abidjan, Ivory Coast
AUTHORS:
Ramata Bohrans Kouakou-Kouraogo, Nguiemeni Blanche Carine Houphouet-Mwandji, Ngolo Alassane Soro, Kouame Wiliam Tano, Kassoum Kone, Souleymane Soumahoro, Claudia Michelle Gadji, N’Drin Denis Effoh, Roland Cassou Adjoby
KEYWORDS:
Adnexal Torsion, Endometrioma, Pelvic Pain
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.16 No.11,
November
6,
2026
ABSTRACT: Ovarian endometrioma torsion requires prompt surgical management to allow for conservative surgery. Therefore, early diagnosis is crucial. The authors report two cases of endometrioma torsion at Angre Teaching Hospital. In the first case, a 24-year-old G2P2 patient presented with subacute pelvic pain associated with a pelvic mass, without fever. Pelvic ultrasound revealed a large cystic pelvic mass suggestive of an endometrioma. Exploratory laparotomy confirmed a left endometrioma measuring 18 cm in its largest diameter, which had undergone torsion with two clockwise rotations. In the second case, a right ovarian endometrioma was diagnosed during emergency surgery for an acute surgical abdomen in a 43-year-old G2P0 patient. Ultrasound was highly valuable in establishing the diagnosis. Although the diagnosis was strongly suspected during the emergency laparotomy, definitive confirmation was provided by the histopathological examination of the surgical specimen. In both cases, this represented a diagnostic and therapeutic emergency due to the risk of severe complications, including tissue necrosis.