Successful Outcome of Pregnancy After Cystectomy for Twisted Ovarian Cyst : A Case Report
Aim & Background: Though ovarian masses during pregnancy are relatively common, its complication can pose a significant risk to pregnant woman and her fetus. Two most common complications of ovarian mass are torsion and hemorrhage. Ovarian torsion encountered during pregnancy carries a significant risk to pregnant woman and intrauterine foetus. We present an interesting case of complication of an ovarian cyst in 2nd trimester of pregnancy and how it was managed with a successful antenatal outcome . Case Description: In this case we report a 28 -year- old second gravida with 26 weeks of pregnancy presenting with torsion of the right ovarian cyst. She presented to the emergency with acute pain in abdomen and vomitting. She was diagnosed to have torsion of ovarian cyst with 26 wks live pregnancy. Emergency exploratory laparotomy followed by right ovarian cystectomy was done .Histopathology report showed a haemorrhagic ovarian cyst. Her pregnancy was followed up and was uneventful. Conclusion: Ovarian torsion in second trimester of pregnancy, though is an extremely rare problem in pregnancy, adnexal torsion should be taken into consideration in the differential diagnosis of acute abdominal pain and urgent Ultrasound aids in diagnosis.
