About the Article
Article Files
[This article belongs to Volume - 70, Issue - 9]
Published on : 2025-09-11 19:14:22
Article Code: AMJ-11-09-2025-12335
Title : Ovarian Torsion in the Emergency Department: A Case Report and Comprehensive Literature Review
Author(s) : Amara Nkosi
Abstract :
Diagnosing acute abdomen in emergency department setting, especially in women of childbearing age, is
challenging. The patient may present with non-specific complaints. We were presented with a case of a
28-year-old lady with no known medical illness complaining of sudden onset left-sided abdominal pain.
Multiple analgesics were given, but her pain persisted. Bedside ultrasonography was performed and noted
a multiloculated cyst over the left ovary, with the largest measuring 4 x 4 cm. She then underwent
laparoscopic left salpingo-oophorectomy, revealing an engorged, gangrenous left fallopian tube and the
left ovarian cyst was twisted three times. Histopathological examination confirmed a left ovarian
haemorrhagic twisted ovarian cyst with a paratubal cyst. This case concludes that acute abdominal pain
in women of childbearing age requires prompt and thorough investigation. Clinicians should consider
several potential diagnoses, including ovarian torsion.