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Julia Tan

KK Hospital, Singapore

Title: Ovarian Torsion in the Normal Ovary: A Diagnostic Challenge in Emergency Department

Biography

Biography: Julia Tan

Abstract

Most ovarian torsion(OT) occur in ovaries containing solid or cystic masses. It is uncommon to find torsion in normal ovary. Case: A 27 y.o.lady presented to ER at a non O&G hospital, with 1-day history of RIF pain. Urine pregnancy and urine dipstick were negative. Abdominal x-ray was normal. She was treated with fleet enema and the pain improved after defecation.She re-presented the following night at our hospital with similar pain. US revealed an enlarged right ovary with oedematous heterogenous central stroma. There was whirlpool sign between uterus and right ovary. A diagnostic laparoscopy was performed. Intraoperative findings revealed gangrenous right ovary and tube, twisted once. Detorsion of the ovary was performed and ischaemic appearance of ovary improved. Postoperative recovery was uneventful.