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KMID : 1144220230290030134
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Journal of Menopausal Medicine
2023 Volume.29 No. 3 p.134 ~ p.138
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Ovarian Torsion in a Postmenopausal Woman: A Case Report and Review of Literature
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Poojan Dogra Marwaha
Asmita Kaundal
Bhavna
Nisha Malik
Sushruti Kaushal
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Abstract
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Postmenopausal ovarian masses are not uncommon. Most of them are malignant due to inflammation and adhesion with the surrounding structures; these masses are fixed and torsion is not a usual phenomenon. We present a 73-year-old postmenopausal woman, parity five and five living issues with an acute abdomen. The examination revealed a 28?30-week size abdominal pelvic mass, which was confirmed to be ovarian in origin, with characteristics that indicated torsion on ultrasound Doppler. She underwent an emergency laparotomy with a total abdominal hysterectomy and bilateral salpingo-ophrectomy. Histopathology confirmed the diagnosis of serous cystadenoma. Ovarian torsion is a crucial differential diagnosis in postmenopausal adnexal masses presenting with acute abdomen. A high index of suspicion is required to diagnose and promptly manage women to improve the outcome.
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KEYWORD
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Ovarian diseases, Ovarian torsion, Torsion abnormality
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