Bilateral Ovarian Torsion Secondary to Teratoma in Pregnancy: A Case Report
Introduction
OT is most common in women of reproductive age; can occur in any trimester,
more frequently in the first and early second trimesters.
Objectives
To describe a rare case of bilateral Ovarian Torsion (OT) in pregnancy at 18 weeks
of gestation.
Case
A 28-year-old female presented to the emergency room with severe
right-sided abdominal pain and nausea at 18 weeks of gestation. Examination revealed right
lower quadrant tenderness accompanied by guarding, and ultrasound indicated bilateral
teratomas with potential torsion. An exploratory laparotomy was performed, revealing two
large teratomas: the right was significantly twisted and avascular, with no gross normal
ovarian tissue, while the left was also twisted but restored its blood supply after detorsion.
The right ovary was removed, and a cystectomy was performed on the left. The patient
recovered without complications and delivered a healthy neonate on July 29.
Conclusion
Prompt diagnosis and surgical intervention are crucial for preserving maternal
health and pregnancy viability in cases of OT. Unilateral salpingectomy and cystectomy are
safe in pregnant women with bilateral large teratomas.
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