Ovarian torsion due to mature cystic teratoma during the early postpartum period: A rare case report


Osman A. A., TAHTABAŞI M., Ibrahim I. G., Hussein A. I., Abdullahi I. M.

International Medical Case Reports Journal, cilt.14, ss.333-338, 2021 (ESCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 14
  • Basım Tarihi: 2021
  • Doi Numarası: 10.2147/imcrj.s310071
  • Dergi Adı: International Medical Case Reports Journal
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, Directory of Open Access Journals
  • Sayfa Sayıları: ss.333-338
  • Anahtar Kelimeler: adnexal torsion, mature cystic teratoma, early postpartum, pregnancy, computed tomography
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Mature cystic teratoma (MCT) is a benign and unilateral ovarian neoplasm usually seen in premenopausal women. Its most common complication, torsion, is a well-known cause of acute abdominal pain. However, it is rare in the early postpartum period. In this paper, we present a case of ovarian torsion due to MCT, which was diagnosed radiologically in the early postnatal period and surgically confirmed. A 25-year-old woman vaginally delivered a healthy baby on time and without any problems. She presented with acute abdominal pain in the right lower quadrant on the postpartum 5th day. Abdominal ultrasound (US) and computed tomo-graphy (CT) demonstrated an ovarian mass containing fat and calcification in the right adnexa and non-enhancing ovarian parenchyma. The patient was discharged on the 5th day after the salpingo-oophorectomy operation without any complications. US and CT provided crucial information to make an accurate and rapid management decision in ovarian torsion due to MCT.