J Menopausal Med.  2023 Dec;29(3):134-138. 10.6118/jmm.23022.

Ovarian Torsion in a Postmenopausal Woman: A Case Report and Review of Literature

• Marwaha PD
• Kaundal A
• B
• Malik N
• Kaushal S

• KMID: 2550647
• DOI: http://doi.org/10.6118/jmm.23022

Abstract

Postmenopausal ovarian masses are not uncommon. Most of them are malignant due to inflammation and adhesion with the surrounding structures; these masses are fixed and torsion is not a usual phenomenon. We present a 73-year-old postmenopausal woman, parity five and five living issues with an acute abdomen. The examination revealed a 28–30-week size abdominal pelvic mass, which was confirmed to be ovarian in origin, with characteristics that indicated torsion on ultrasound Doppler. She underwent an emergency laparotomy with a total abdominal hysterectomy and bilateral salpingo-ophrectomy. Histopathology confirmed the diagnosis of serous cystadenoma. Ovarian torsion is a crucial differential diagnosis in postmenopausal adnexal masses presenting with acute abdomen. A high index of suspicion is required to diagnose and promptly manage women to improve the outcome.

Keyword

Ovarian diseases; Ovarian torsion; Torsion abnormality