DIAGNOSIS DINI DAN PENATALAKSANAAN OPERATIF TORSI OVARIUM DEKSTRA AKIBAT KISTA OVARIUM PADA WANITA USIA REPRODUKTIF: LAPORAN KASUS

Prima Della Fegita; Chandra Adilla

doi:10.59003/nhj.v6i2.2225

Authors

Prima Della Fegita Universitas Baiturrahmah
Chandra Adilla Universitas Baiturrahmah

DOI:

https://doi.org/10.59003/nhj.v6i2.2225

Keywords:

ovarian torsion, ovarian cyst, salpingo-oophorectomy, gynecological emergency, case report

Abstract

Ovarian torsion is a gynecological emergency caused by partial or complete rotation of the ovary and its vascular pedicle, leading to impaired blood flow and potential ovarian necrosis if not treated promptly. Ovarian cysts larger than 5 cm are recognized as the main predisposing factor. A 33-year-old multiparous woman presented with sudden-onset right lower abdominal pain lasting four hours. Physical examination revealed tenderness over the right adnexal region. Ultrasonography demonstrated a well-defined unilocular hypoechoic cystic mass measuring approximately 2.5 × 4.6 cm arising from the right adnexa, accompanied by absent ovarian blood flow on Doppler evaluation. An emergency laparotomy was performed, revealing a torsed, dark-brown right ovarian cyst. Right salpingo-oophorectomy was undertaken because the adnexa appeared non-viable. Histopathological examination confirmed an ovarian cyst. The postoperative course was uneventful, and the patient was discharged in stable condition. Early recognition of ovarian torsion through clinical evaluation supported by ultrasonography is essential to prevent ischemic complications. Prompt surgical intervention remains the definitive treatment, while the choice of surgical procedure should be individualized according to ovarian viability and intraoperative findings.

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