Ovarian Torsion in a Young Adolescent with Rokitansky Syndrome

TL;DR

A young girl with a rare condition and no menstrual cycle experienced ovarian torsion, requiring surgery to untwist and remove part of her ovary.

Contribution

This case report highlights ovarian torsion in a premenarcheal patient with Rokitansky syndrome, a rare occurrence.

Findings

The patient had mullerian agenesis and ovarian torsion, requiring surgical intervention.

Laparoscopy confirmed the diagnosis and guided the detorsion and cystectomy.

The lax attachment of the adnexa may contribute to torsion in such cases.

Abstract

A case report of a premenarcheal patient with ovarian torsion and mullerian agenesis is presented. A 12-year-old prepubertal girl is presented with severe right lower quadrant abdominal pain and mild rebound. Laparoscopy showed mullerian agenesis and twisted right adnexa. Detorsion and cystectomy of the right ovary were done, and the ovary was fixed to the pelvic sidewall. The postoperative course was uneventful. An association between the lax attachment of the adnexa and torsion may be a contributing factor in this condition.

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