Ovarian Torsion Due to Mature Cystic Teratoma During the Early Postpartum Period: A Rare Case Report

• Main Authors: Adam Osman A, Tahtabasi M, Gedi Ibrahim I, Issak Hussein A, Mohamud Abdullahi I
• Format: Article
• Language: English
• Published: Dove Medical Press 2021-05-01
• Series: International Medical Case Reports Journal
• Subjects: adnexal torsion; mature cystic teratoma; early postpartum; pregnancy; computed tomography
• Online Access: https://www.dovepress.com/ovarian-torsion-due-to-mature-cystic-teratoma-during-the-early-postpar-peer-reviewed-fulltext-article-IMCRJ

Ahmed Adam Osman,1 Mehmet Tahtabasi,1 Ismail Gedi Ibrahim,1 Ahmed Issak Hussein,2 Ismail Mohamud Abdullahi3 1Department of Radiology, University of Health Sciences, Somalia Turkey Recep Tayyip Erdogan Education and Research Hospital, Mogadishu, Somalia; 2Department of Obstetrics and Gynecology, University of Health Sciences, Somalia Turkey Recep Tayyip Erdogan Education and Research Hospital, Mogadishu, Somalia; 3Department of Pathology, University of Health Sciences- Somalia Turkey Recep Tayyip Erdogan Education and Research Hospital, Mogadishu, SomaliaCorrespondence: Mehmet TahtabasiSomalia Recep Tayyip Erdogan Education and Research Hospital, 30 Street, Black Sea, Hodan District, Mogadishu, SomaliaTel [phone]Email [e-mail]: Mature cystic teratoma (MCT) is a benign and unilateral ovarian neoplasm usually seen in premenopausal women. Its most common complication, torsion, is a well-known cause of acute abdominal pain. However, it is rare in the early postpartum period. In this paper, we present a case of ovarian torsion due to MCT, which was diagnosed radiologically in the early postnatal period and surgically confirmed. A 25-year-old woman vaginally delivered a healthy baby on time and without any problems. She presented with acute abdominal pain in the right lower quadrant on the postpartum 5th day. Abdominal ultrasound (US) and computed tomography (CT) demonstrated an ovarian mass containing fat and calcification in the right adnexa and non-enhancing ovarian parenchyma. The patient was discharged on the 5th day after the salpingo-oophorectomy operation without any complications. US and CT provided crucial information to make an accurate and rapid management decision in ovarian torsion due to MCT.Keywords: adnexal torsion, mature cystic teratoma, early postpartum, pregnancy, computed tomography