Case Report of Concomitant Presentation of Ovarian Torsion and Acute Appendicitis in a Patient Post-Hysterectomy
<b>Background</b>: Diagnoses for right lower quadrant pain in women must include both gynecologic and non-gynecologic causes. In this differential, ovarian torsion and appendicitis are both serious etiologies that can require swift surgical intervention. Ovarian torsion is the least comm...
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MDPI AG
2025-01-01
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| Series: | Reproductive Medicine |
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| Online Access: | https://www.mdpi.com/2673-3897/6/1/3 |
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| author | Eric Schmitt Krystal Glasford Samantha Carson Christopher Rosemeyer |
| author_facet | Eric Schmitt Krystal Glasford Samantha Carson Christopher Rosemeyer |
| author_sort | Eric Schmitt |
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| description | <b>Background</b>: Diagnoses for right lower quadrant pain in women must include both gynecologic and non-gynecologic causes. In this differential, ovarian torsion and appendicitis are both serious etiologies that can require swift surgical intervention. Ovarian torsion is the least common of the two, accounting for 2.7% of emergency surgery cases according to a 10-year review, while the lifetime risk of appendectomy for females is 23.1%. As many as 2–3% of patients undergoing surgery for acute appendicitis are instead found to have ovarian torsion. However, there are currently only rare case reports of these two conditions co-presenting in the same patient simultaneously, with little discussion on how to be better prepared before entering the operating room. <b>Objective:</b> The purpose of this study is to describe this rare co-presentation to better inform providers of this potential complication and to improve future patient care outcomes. <b>Method:</b> A case report of a patient seen at Tripler Army Medical Center, Honolulu, Hawaii, was assessed. <b>Conclusions:</b> This case shows the rare possibility of dual acute etiologies of abdominal pain warranting urgent surgical management. This case also highlights the need for a multidisciplinary approach in the pre-procedural evaluation of possible competing etiologies of acute abdominal pain that warrant surgical management. Additionally, this case brings up interesting ethical questions regarding informed consent, autonomy, and the obligation of intraoperatively consulted surgeons to provide definitive and indicated surgical care in the absence of prior discussion of possible pathology. |
| format | Article |
| id | doaj-art-0aeeb078a1954bbab521151608fc87a7 |
| institution | Kabale University |
| issn | 2673-3897 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Reproductive Medicine |
| spelling | doaj-art-0aeeb078a1954bbab521151608fc87a72025-08-20T03:44:00ZengMDPI AGReproductive Medicine2673-38972025-01-0161310.3390/reprodmed6010003Case Report of Concomitant Presentation of Ovarian Torsion and Acute Appendicitis in a Patient Post-HysterectomyEric Schmitt0Krystal Glasford1Samantha Carson2Christopher Rosemeyer3Department of Surgical Gynecology and Obstetrics, Tripler Army Medical Center, Honolulu, HI 96859, USADepartment of Surgical Gynecology and Obstetrics, Tripler Army Medical Center, Honolulu, HI 96859, USADepartment of Surgical Gynecology and Obstetrics, Madigan Army Medical Center, Tacoma, WA 98431, USADepartment of Surgical Gynecology and Obstetrics, Tripler Army Medical Center, Honolulu, HI 96859, USA<b>Background</b>: Diagnoses for right lower quadrant pain in women must include both gynecologic and non-gynecologic causes. In this differential, ovarian torsion and appendicitis are both serious etiologies that can require swift surgical intervention. Ovarian torsion is the least common of the two, accounting for 2.7% of emergency surgery cases according to a 10-year review, while the lifetime risk of appendectomy for females is 23.1%. As many as 2–3% of patients undergoing surgery for acute appendicitis are instead found to have ovarian torsion. However, there are currently only rare case reports of these two conditions co-presenting in the same patient simultaneously, with little discussion on how to be better prepared before entering the operating room. <b>Objective:</b> The purpose of this study is to describe this rare co-presentation to better inform providers of this potential complication and to improve future patient care outcomes. <b>Method:</b> A case report of a patient seen at Tripler Army Medical Center, Honolulu, Hawaii, was assessed. <b>Conclusions:</b> This case shows the rare possibility of dual acute etiologies of abdominal pain warranting urgent surgical management. This case also highlights the need for a multidisciplinary approach in the pre-procedural evaluation of possible competing etiologies of acute abdominal pain that warrant surgical management. Additionally, this case brings up interesting ethical questions regarding informed consent, autonomy, and the obligation of intraoperatively consulted surgeons to provide definitive and indicated surgical care in the absence of prior discussion of possible pathology.https://www.mdpi.com/2673-3897/6/1/3acute appendicitisovarian torsionright lower quadrant painemergency departmentgynecology and general surgery crossoverCT findings |
| spellingShingle | Eric Schmitt Krystal Glasford Samantha Carson Christopher Rosemeyer Case Report of Concomitant Presentation of Ovarian Torsion and Acute Appendicitis in a Patient Post-Hysterectomy Reproductive Medicine acute appendicitis ovarian torsion right lower quadrant pain emergency department gynecology and general surgery crossover CT findings |
| title | Case Report of Concomitant Presentation of Ovarian Torsion and Acute Appendicitis in a Patient Post-Hysterectomy |
| title_full | Case Report of Concomitant Presentation of Ovarian Torsion and Acute Appendicitis in a Patient Post-Hysterectomy |
| title_fullStr | Case Report of Concomitant Presentation of Ovarian Torsion and Acute Appendicitis in a Patient Post-Hysterectomy |
| title_full_unstemmed | Case Report of Concomitant Presentation of Ovarian Torsion and Acute Appendicitis in a Patient Post-Hysterectomy |
| title_short | Case Report of Concomitant Presentation of Ovarian Torsion and Acute Appendicitis in a Patient Post-Hysterectomy |
| title_sort | case report of concomitant presentation of ovarian torsion and acute appendicitis in a patient post hysterectomy |
| topic | acute appendicitis ovarian torsion right lower quadrant pain emergency department gynecology and general surgery crossover CT findings |
| url | https://www.mdpi.com/2673-3897/6/1/3 |
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