Ovarian Torsion

From: Geffrey H Klein, MD (gklein@bcm.tmc.edu)
Mon Jun 24 23:03:45 1996


I had posted this when the list was having problems, so I will repost just in case..

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Please see the following URL for photographs:

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http://www.bcm.tmc.edu/obgyn/obgyn-ce/ic/torsion.html

This patient is a 64 year old multiparous female who presented with a complaint of increasing abdominal girth and postmenopausal spotting. Ultrasound of the abdomen revealed a complex cystic and solid abdominal mass of 21 centimeters in largest dimension. She had normal tumor markers including a normal CA125. However, she was noted on exam to have hirsutism. Total testosterone was 206 and DHEA-S was normal.

The patient was taken for exploartory laparotomy. Upon opening the abdomen, it was noted that the ovarian vessles were torsed. The mass was exteriorized without untwisting the torsion.

Once removed, the mass was sent for frozen section. This was a mucinous cystadenocarcinoma of the right ovary. Complete staging laparotomy was negative for gross disease elsewhere in the abdomen or pelvis. The contralateral ovary was negative for tumor by frozen section.

Geffrey H. Klein, MD Baylor College of Medicine Dept of Obstetrics and Gynecology listowner: OB-GYN-L gklein@bcm.tmc.edu http://members.aol.com/gklein01/geff.html





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