EC Gynaecology

Introduction: Ovarian torsion is a gynecological emergency that is typically characterised by acute pelvic discomfort. Nevertheless, the torsion of a mature cystic teratoma (ovarian dermoid cyst) can occasionally be asymptomatic, resulting in an incidental diagnosis. This report emphasises the diagnostic challenges and clinical implications of a rare case of asymptomatic ovarian dermoid cyst torsion in an unmarried woman.

Case Presentation: After a routine pelvic ultrasound, a 10 cm right ovarian mass with characteristics indicative of a mature cystic teratoma (dermoid cyst) was discovered in a 32-year-old unmarried woman. The woman was evaluated for unrelated gynecological concerns. An ovarian cystectomy was done followed by detorsion due to the mature cystic teratoma, which was confirmed by histopathology report. The patient's recuperation was uneventful, and fertility-preserving counseling was administered.

Conclusion: The incidental diagnosis of asymptomatic ovarian torsion presents a clinical dilemma, as it is exceedingly uncommon. This case emphasizes the necessity of timely surgical intervention to prevent complications, including necrosis, and emphasizes the significance of routine imaging in patients with adnexal masses. Young women, particularly those who are considering future fertility, should contemplate elective removal of dermoid cysts.

 Keywords: Ovarian Torsion; Dermoid Cyst; Asymptomatic Torsion; Unmarried Woman; Fertility Preservation

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