Left Ovarian Torsion: A Case Report

Ovarian torsion accounts for more than 3% of gynecological emergencies with an incidence, among all ages of women, of 5.9 per 100,000 women. This affection can be simply defined as twisting of the ovary around its ligamentous support, often resulting in impedance of its blood supply which can lead to ovarian necrosis, infection and peritonitis. Ovarian torsion is mainly associated with presence of benign ovarian masses, as malignant tumors are less frequent and less prone to undergo ovarian torsion. This is why this complication needs to be diagnosed as early as possible to preserve the function of ovaries and fallopian tubes and to prevent necrosis. Some of the surgical procedures available to untwist the ovary are laparoscopy and laparotomy. If there is prolonged loss of blood flow to the ovary and surrounding tissue then the procedures like oophorectomy and salpingo-oophorectomy are suggested.