Intrauterine left ovarian torsion located in the right abdominal quadrant: Case report

Abstract views: 81 / PDF downloads: 47




Newborn, Ovarian cysts, Salpingoopherectomy



In this article, we will share our case of intrauterine left ovarian torsion located entirely in the right half of the abdomen and its features. She was admitted to the pediatric surgery outpatient clinic due to an intra-abdominal mass lesion. In her history, it was learned that she had a known and unclear diagnosis of an intrauterine mass for seven months. Abdominal magnetic resonance imaging was performed for the cross-sectional evaluation of the lesion. In the right lower quadrant of the abdomen, 35x30 millimeter septated T1 hypointense T2 hyperintense nodular lesion without contrast enhancement and a collection of fluid around the lesion were seen, extending posterior to the cecum and inferiorly to the right adnexal region in the right lower quadrant of the abdomen. The mass was excised by performing salpingoopherectomy. Today, more intrauterine problems can be detected thanks to pregnancy follow-ups and fetal imaging, and intrauterine torsion is one of the fetal pathologies that should be considered. Although the common approach is excision, we think that with the development of early postnatal or fetal surgery opportunities in the future, it will be possible to treat these lesions without causing organ loss.


Silva CT, Engel C, Cross SN, et al. Postnatal sonographic spectrum of prenatally detected abdominal and pelvic cysts. AJR Am J Roentgenol. 2014; 203(6): 684-96.

Akın MA, Akın L, Özbek S, et al. Fetal-neonatal ovarian cysts--their monitoring and management: retrospective evaluation of 20 cases and review of the literature. J Clin Res Pediatr Endocrinol. 2010; 2(1): 28-33.

Yılmaz Y, Demirel G, Ulu HO, et al. Four neonates with giant ovarian cysts: difficulties in diagnosis and decision making process. J Matern Fetal Neonatal Med. 2012; 25(8): 1508-10.

Özcan HN, Balcı S, Ekinci S, et al. Imaging Findings of Fetal-Neonatal Ovarian Cysts Complicated With Ovarian Torsion and Autoamputation. AJR Am J Roentgenol. 2015; 205(1): 185-9.

Özdilek B, Nalbantoğlu B, Donma MM, et al. Yenidoğandaover kisti. Çocuk Dergisi 2013; 13: 36-9.

Walker SK, Lal DR, Boyd KP, Sato TT. Management of pediatric ovarian torsion: evidence of follicular development after ovarian preservation. Surgery. 2018; 163(3): 547-52.




How to Cite

NARSAT, M. A., YILDIZ, E., BİÇER, G., DURAK, Özlem, & YILMAZ, A. (2022). Intrauterine left ovarian torsion located in the right abdominal quadrant: Case report. Kastamonu Medical Journal, 2(3), 84–87.

Most read articles by the same author(s)