Clinical Images  |   June 2017
Asynchronous Bilateral Ovarian Torsion
Author Notes
  • From the Department of General Surgery at Garden City Hospital in Michigan. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Jennifer E. Taylor, DO, 31941 Augusta Dr, Romulus, MI 48174-6375. E-mail: jentaylor25@gmail.com
     
Article Information
Endocrinology / Imaging / Obstetrics and Gynecology / Clinical Images
Clinical Images   |   June 2017
Asynchronous Bilateral Ovarian Torsion
The Journal of the American Osteopathic Association, June 2017, Vol. 117, 403. doi:10.7556/jaoa.2017.080
The Journal of the American Osteopathic Association, June 2017, Vol. 117, 403. doi:10.7556/jaoa.2017.080
A 43-year-old woman presented to the emergency department with acute right lower quadrant abdominal pain, nausea, and bloating for the past day. Her medical history included a Roux-en-Y gastric bypass procedure 14 years prior. On abdominal examination she had focal guarding in her right lower quadrant. A computed tomographic scan of her abdomen and pelvis showed a multicystic heterogeneous right ovarian mass. Exploratory laparotomy revealed a large right hemorrhagic ovarian cyst with ovarian torsion of the infundibular ligament and vascular pedicle (image A, arrow). She underwent an oophorectomy. 
Fifty-four weeks later, she presented to her primary care physician with similar abdominal pain in the left lower quadrant. A computed tomographic scan showed a left ovarian mass (image B, arrow). Exploratory laparotomy revealed 540° torsion of her left ovary, and histologic examination revealed a large left hemorrhagic cyst with torsion. The patient underwent an oophorectomy. 
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