Iranian Society of Gynecology Oncology

Document Type : Case Report Article


1 Department of Obstetrics and Gynecology, School of Medicine, Nekouei-Hedayati-Forghani Hospital, Qom University of Medical Sciences, Qom, Iran

2 Clinical research and development center Qom University of Medical Sciences


we present a case of A 26-year-old woman with hypothyroidism that was treated with levothyroxine,and was hospitalized at 25 weeks of gestational age that diagnosis of ovarian torsion and underwent detorsion surgery, but finally, after a few weeks during cesarean section, no trace and evidence of the ovary was observed, which suggests the phenomenon of spontaneous ovarian absorption.


Main Subjects

1. Hibbard LT. Adnexal torsion. Am J Obstet Gynecol. 1985;152(4):456-61. [DOI:10.1016/S0002-9378(85)80157-5] [PMID]
2. Alrabeeah A, Galliani C, Giacomantonio M, Heifetz S, Lau H. Neonatal ovarian torsion: report of three cases and review of the literature. Pediatr Pathol. 1988;8(2):143-9. [DOI:10.3109/15513818809022291] [PMID]
3. Asfour V, Varma R, Menon P. Clinical risk factors for ovarian torsion. J Obstet Gynaecol. 2015;35(7):721-5.
4. Bayer AI, Wiskind AK. Adnexal torsion: can the adnexa be saved? Am J Obstet Gynecol. 1994;171(6):1506-11. [DOI:10.1016/0002-9378(94)90393-X] [PMID]
5. Smorgick N, Pansky M, Feingold M, Herman A, Halperin R, Maymon R. The clinical characteristics and sonographic findings of maternal ovarian torsion in pregnancy. Fertil Steril. 2009;92(6):1983-7. [DOI:10.1016/j.fertnstert.2008.09.028] [PMID]
6. Morton MJ, Masterson M, Hoffmann B. Case report: Ovarian torsion in pregnancy-Diagnosis and management. J Emerg Med. 2013;45(3):348-51. [DOI:10.1016/j.jemermed.2012.02.089] [PMID]
7. Guennoun A, Krimou Y, Mamouni N, Errarhay S, Bouchikhi C, Banani A. Normal adnexal torsion and pregnancy: about a case. Pan Afr Med J. 2017;27:197. [DOI:10.11604/pamj.2017.27.197.12250] [PMID] [PMCID]
8. Singh Y, Shankar A, Dutta S, Chari V. Adnexal torsion in second trimester of pregnancy. Med J Armed Forces India. 2008;64(2):193-4. [DOI:10.1016/S0377-1237(08)80084-6] [PMID]
9. Kanayama S, Kaniwa H, Tomimoto M, Zhang B, Nishioka K, Oi H. Laparoscopic detorsion of the ovary in ovarian hyperstimulation syndrome during the sixth week of gestation: A case report and review. Int J Surg Case Rep. 2019;59:50-3. [DOI:10.1016/j.ijscr.2019.04.051] [PMID] [PMCID]
10. Chang S-D, Yen C-F, Lo L-M, Lee C-L, Liang C-C. Surgical intervention for maternal ovarian torsion in pregnancy. Taiwan J Obstet Gynecol. 2011;50(4):458-62. [DOI:10.1016/j.tjog.2011.10.010] [PMID]
11. Young R, Cork K. Intermittent ovarian torsion in pregnancy. Clin Pract Cases Emerg Med. 2017;1(2):108. [DOI:10.5811/cpcem.2016.12.32932] [PMID] [PMCID]
12. McWilliams GD, Hill MJ, Dietrich CS, 3rd. Gynecologic emergencies. Surg Clin North Am. 2008;88(2):265-83, vi. [DOI:10.1016/j.suc.2007.12.007] [PMID]
13. Wilkinson C, Sanderson A. Adnexal torsion -- a multimodality imaging review. Clin Radiol. 2012;67(5):476-83. [DOI:10.1016/j.crad.2011.10.018] [PMID]
14. Lee EJ, Kwon HC, Joo HJ, Suh JH, Fleischer AC. Diagnosis of ovarian torsion with color Doppler sonography: depiction of twisted vascular pedicle. J Ultrasound Med. 1998;17(2):83-9. [DOI:10.7863/jum.1998.17.2.83] [PMID]
15. Shalev J, Goldenberg M, Oelsner G, Ben-Rafael Z, Bider D, Blankstein J, et al. Treatment of twisted ischemic adnexa by simple detorsion. N Engl J Med. 1989;321(8):546. [DOI:10.1056/NEJM198908243210818]
16. Huang C, Hong MK, Ding DC. A review of ovary torsion. Ci Ji Yi Xue Za Zhi. 2017;29(3):143-7. [DOI:10.4103/tcmj.tcmj_55_17] [PMID] [PMCID]
17. Mishra VV, Nanda S, Nawal R, Choudhary S. Unusual presentation of twisted ovarian cyst. J Midlife Health. 2016;7(1):31-3. [DOI:10.4103/0976-7800.179174] [PMID] [PMCID]
18. Nandi-Munshi D, Tridgell A, Taplin CE. Acute ovarian torsion and primary hypothyroidism. Pediatrics. 2013;132(1):e233-8. [DOI:10.1542/peds.2012-3574] [PMID]
19. Kilicdag EB, Tarim E, Bagis T, Simsek E, Haydardedeoglu B, Kuscu E. Absence of unilateral adnexa associated with asymptomatic adnexal torsion and autoamputation. J Gynecol Surg. 2005;2(1):27-8. [DOI:10.1007/s10397-004-0082-4]
20. Olufowobi O, Sorinola O, Afnan M, Papaioannou S, McHugo J, Sharif K. Spontaneous disappearance of a normal adnexa associated with a contralateral polycystic-appearing ovary. Obstet Gynecol. 2002;100(5):1136-8. [DOI:10.1016/S0029-7844(02)02249-4] [DOI:10.1097/00006250-200211001-00032] [PMID]
21. Cucinella G, Billone V, Misseri G, Rotolo S, Triolo MM, Pitruzzella I, et al. Interstitial pregnancy in a patient with ipsilateral adnexal absence: Case report and literature review: CIC Edizioni Internazionali srl; 2013.