A Case of Torsion in an Otherwise-Normal Ovary with a Giant Hematosalpinx Larger than Enlarged Ovary: Utilization of Diagnostic Laparoscopy for the Accurate Diagnosis

We report a case of torsion in an otherwise-normal ovary with a giant hematosalpinx. A 23-year-old woman presented with complaints of abdominal pain and nausea. At initial visit, there was few abnormal findings of imaging tests, and we made a diagnosis of ovarian hemorrhage. Three days later, she ca...

Full description

Saved in:
Bibliographic Details
Main Authors: Sae Yu, Koji Yamanoi, Masumi Sunada, Sachiko Kitamura, Naoki Horikawa, Yoshitsugu Chigusa, Ken Yamaguchi, Akihito Horie, Junzo Hamanishi, Eiji Kondoh, Masaki Mandai
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2021/1371611
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832560544712753152
author Sae Yu
Koji Yamanoi
Masumi Sunada
Sachiko Kitamura
Naoki Horikawa
Yoshitsugu Chigusa
Ken Yamaguchi
Akihito Horie
Junzo Hamanishi
Eiji Kondoh
Masaki Mandai
author_facet Sae Yu
Koji Yamanoi
Masumi Sunada
Sachiko Kitamura
Naoki Horikawa
Yoshitsugu Chigusa
Ken Yamaguchi
Akihito Horie
Junzo Hamanishi
Eiji Kondoh
Masaki Mandai
author_sort Sae Yu
collection DOAJ
description We report a case of torsion in an otherwise-normal ovary with a giant hematosalpinx. A 23-year-old woman presented with complaints of abdominal pain and nausea. At initial visit, there was few abnormal findings of imaging tests, and we made a diagnosis of ovarian hemorrhage. Three days later, she came back with increased symptoms, and we detected the mass of a complex solid cystic structure with a unilocular cyst much larger than solid component. A diagnostic laparoscopy was performed immediately, and we could make a diagnosis of torsion in an otherwise-normal ovary with a giant hematosalpinx. We performed a salpingectomy and could preserve her ovary. This is the first case of torsion in an otherwise-normal ovary with a giant hematosalpinx which enlarged to a greater extent than the ovary.
format Article
id doaj-art-ac1a7caafe1c4f8ab4050d253b1e793f
institution Kabale University
issn 2090-6684
2090-6692
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Case Reports in Obstetrics and Gynecology
spelling doaj-art-ac1a7caafe1c4f8ab4050d253b1e793f2025-02-03T01:27:24ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922021-01-01202110.1155/2021/13716111371611A Case of Torsion in an Otherwise-Normal Ovary with a Giant Hematosalpinx Larger than Enlarged Ovary: Utilization of Diagnostic Laparoscopy for the Accurate DiagnosisSae Yu0Koji Yamanoi1Masumi Sunada2Sachiko Kitamura3Naoki Horikawa4Yoshitsugu Chigusa5Ken Yamaguchi6Akihito Horie7Junzo Hamanishi8Eiji Kondoh9Masaki Mandai10Department of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto City, Kyoto, 606-8507, JapanDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto City, Kyoto, 606-8507, JapanDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto City, Kyoto, 606-8507, JapanDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto City, Kyoto, 606-8507, JapanDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto City, Kyoto, 606-8507, JapanDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto City, Kyoto, 606-8507, JapanDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto City, Kyoto, 606-8507, JapanDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto City, Kyoto, 606-8507, JapanDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto City, Kyoto, 606-8507, JapanDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto City, Kyoto, 606-8507, JapanDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto City, Kyoto, 606-8507, JapanWe report a case of torsion in an otherwise-normal ovary with a giant hematosalpinx. A 23-year-old woman presented with complaints of abdominal pain and nausea. At initial visit, there was few abnormal findings of imaging tests, and we made a diagnosis of ovarian hemorrhage. Three days later, she came back with increased symptoms, and we detected the mass of a complex solid cystic structure with a unilocular cyst much larger than solid component. A diagnostic laparoscopy was performed immediately, and we could make a diagnosis of torsion in an otherwise-normal ovary with a giant hematosalpinx. We performed a salpingectomy and could preserve her ovary. This is the first case of torsion in an otherwise-normal ovary with a giant hematosalpinx which enlarged to a greater extent than the ovary.http://dx.doi.org/10.1155/2021/1371611
spellingShingle Sae Yu
Koji Yamanoi
Masumi Sunada
Sachiko Kitamura
Naoki Horikawa
Yoshitsugu Chigusa
Ken Yamaguchi
Akihito Horie
Junzo Hamanishi
Eiji Kondoh
Masaki Mandai
A Case of Torsion in an Otherwise-Normal Ovary with a Giant Hematosalpinx Larger than Enlarged Ovary: Utilization of Diagnostic Laparoscopy for the Accurate Diagnosis
Case Reports in Obstetrics and Gynecology
title A Case of Torsion in an Otherwise-Normal Ovary with a Giant Hematosalpinx Larger than Enlarged Ovary: Utilization of Diagnostic Laparoscopy for the Accurate Diagnosis
title_full A Case of Torsion in an Otherwise-Normal Ovary with a Giant Hematosalpinx Larger than Enlarged Ovary: Utilization of Diagnostic Laparoscopy for the Accurate Diagnosis
title_fullStr A Case of Torsion in an Otherwise-Normal Ovary with a Giant Hematosalpinx Larger than Enlarged Ovary: Utilization of Diagnostic Laparoscopy for the Accurate Diagnosis
title_full_unstemmed A Case of Torsion in an Otherwise-Normal Ovary with a Giant Hematosalpinx Larger than Enlarged Ovary: Utilization of Diagnostic Laparoscopy for the Accurate Diagnosis
title_short A Case of Torsion in an Otherwise-Normal Ovary with a Giant Hematosalpinx Larger than Enlarged Ovary: Utilization of Diagnostic Laparoscopy for the Accurate Diagnosis
title_sort case of torsion in an otherwise normal ovary with a giant hematosalpinx larger than enlarged ovary utilization of diagnostic laparoscopy for the accurate diagnosis
url http://dx.doi.org/10.1155/2021/1371611
work_keys_str_mv AT saeyu acaseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT kojiyamanoi acaseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT masumisunada acaseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT sachikokitamura acaseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT naokihorikawa acaseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT yoshitsuguchigusa acaseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT kenyamaguchi acaseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT akihitohorie acaseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT junzohamanishi acaseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT eijikondoh acaseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT masakimandai acaseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT saeyu caseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT kojiyamanoi caseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT masumisunada caseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT sachikokitamura caseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT naokihorikawa caseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT yoshitsuguchigusa caseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT kenyamaguchi caseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT akihitohorie caseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT junzohamanishi caseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT eijikondoh caseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis
AT masakimandai caseoftorsioninanotherwisenormalovarywithagianthematosalpinxlargerthanenlargedovaryutilizationofdiagnosticlaparoscopyfortheaccuratediagnosis