Intrauterine left ovarian torsion located in the right abdominal quadrant: Case report

Abstract

  In this article, we will share our case of intrauterine left ovarian torsion located entirely in the right half of the abdomen and its features. She was admitted to the pediatric surgery outpatient clinic due to an intra-abdominal mass lesion. In her history, it was learned that she had a known and unclear diagnosis of an intrauterine mass for seven months. Abdominal magnetic resonance imaging was performed for the cross-sectional evaluation of the lesion. In the right lower quadrant of the abdomen, 35x30 millimeter septated T1 hypointense T2 hyperintense nodular lesion without contrast enhancement and a collection of fluid around the lesion were seen, extending posterior to the cecum and inferiorly to the right adnexal region in the right lower quadrant of the abdomen. The mass was excised by performing salpingoopherectomy. Today, more intrauterine problems can be detected thanks to pregnancy follow-ups and fetal imaging, and intrauterine torsion is one of the fetal pathologies that should be considered. Although the common approach is excision, we think that with the development of early postnatal or fetal surgery opportunities in the future, it will be possible to treat these lesions without causing organ loss.