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Case Reports 2018
Medical Case Reports
ISSN: 2471-8041
Page 69
May 28-29, 2018
London, UK
8
th
Edition of International Conference on
Clinical and Medical Case Reports
Introduction:
Ovarian cysts are commonly found in women of
reproductive age. Most of them do not cause symptoms and
resolve in one to two months with conservative management.
However, some of the cysts may be complicated with severe pain
due to torsion or rupture. We are presenting a rare case of a 64
year oldwomanwhowas admitted to the hospital with obstructive
ileus caused by torsion of a giant ovarian cyst.
Case Description:
A 64 year old female patient visited the
emergencydepartmentwithacuteabdominalpainassociatedwith
nausea and vomiting. The abdomen was tender with high-pitched
sounds. Rectoabdominal examination revealed tenderness of
douglas. X-ray revealed a dilated colon. Rectosigmoidoscopy was
decided but the endoscopic assessment was limited at the start of
the sigmoid colon. The patient underwent exploratory laparotomy.
A huge left ovarian mass was found and was successfully
removed. No other surgical treatment needed. Patient was
discharged in good condition. Histological examination has
described torsion of a cystadenoma 20x13 cm at the left ovary
with no signs of malignancy.
Results:
A big variety of tumors can arise from the ovaries due
to their complex histogenetic and embryologic development.
Most of them are benign. The majority of the benign ovarian
cysts present asymptomatically. In some cases they can present
with pain, menstrual disturbances, abdominal swelling, pressure
effects or hormonal effects in functional cysts. Torsion, rupture
and haemorrhage can be some of the complications of benign
ovarian cysts. In our case a huge benign ovarian cystadenoma
caused obstruction of the sigmoid colon. In cystic lesions ,bowel
obstruction is uncommonly described.
Conclusions:
Ovarianor adnexal torsionconsistsanacutesurgical
emergency compromising ovary’s blood supply. Furthermore
when a mass cause large bowel obstruction, an explorative
laparoscopy or laparotomy is required in order to remove the
mass and resolve the intestinal obstruction.
gvelvel@gmail.comSigmoid obstruction caused by torsion of a giant ovarian cyst
Med Case Rep. 2018, Volume 4
DOI: 10.21767/2471-8084-C1-003
Georgios Velimezis, Ioulia-Maria Christodoulou, Fedra Menikou, Christos Kout-
seribas, Petros Siaperas, Maria Fakalou
and
Dionysios Argyros
Sismanogleio General Hospital, Greece