Ovarian torsion can affect females of all ages. It represents a gynecological emergency and, if untreated, results in ischemic changes of the ovary.

The presented patient, in particular, underwent right-side adnexectomy and ovariectomy due to irreversible ischemic changes. Commonly, both the ovary and fallopian tube are involved, while isolated torsion involving either part of the adnexa is rare (one in 1.5 million women). Torsions can also involve paratubal or paraovarian cysts.

Ovarian torsion occurs due an ovarian cyst or mass (usually a benign lesion over 5 cm in diameter) rotating both the infundibulopelvic ligament and the utero-ovarian ligament. Torsion of normal ovaries can also occur, particularly in premenarchal girls whose infundibulopelvic ligaments are elongated (the ligament shortens in puberty).

This case was presented to me by my dear coworker, Dr. Adrijana Perkunić.