A VERY RARE CASE: THE DEVELOPMENT OF TUBA-OVARİAN TORSİON İN ENDOMETRİOMA

In: Genel Tıp Dergisi · 2024 · vol. 34(6) , pp. 908–911 · doi:10.54005/geneltip.1533780 · W4403205936
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This case report describes a rare instance of tubo-ovarian torsion developing in an endometrioma, a complication infrequently seen in patients with endometriosis.

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This paper reports a very rare clinical case describing the development of a tuba-ovarian torsion arising in the setting of an endometrioma, presented as a case-based narrative rather than a cohort or experimental study. The manuscript emphasizes the association between torsion and an endometrioma, but the primary limitation is that it provides only a single case without generalizable incidence, comparative outcomes, or mechanistic testing. Diagnostic and background discussion draws on broader endometriosis literature, including distinctions among endometriosis-related entities and epidemiology of endometriosis. This paper is centrally about endometriosis — it documents tuba-ovarian torsion in endometrioma.

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Abstract

Endometriosis is increasingly diagnosed in women of reproductive age and is estimated to affect up to 10% of women. Endometriomas are a common antithesis in patients of reproductive age and require special planning and experience for optimal treatment. Endometroma in rare cases occurs with an acute abdominal picture. However, adnexal torsion is very rare in these patients. Because endometriomas are often tightly adherent to neighboring structures, and therefore they seem less likely to cause adnexal torsion, although there is insufficient data on the torsion rate in these cysts. With this case report, we thought to contribute to the literature with the case of torsion in endometrioma.
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References

- 1. Wright KN, Laufer MR. Endometriomas in adolescents. Fertil Steril. 2010;94:1529. - 2. B Eskenazi, ML Warner: Epidemiology of endometriosis. Obstet Gynecol Clin North Am 24, 235–258 (1997) - 3. M Nisolle, J Donnez: Peritoneal endometriosis, ovarian endometriosis, and adenomyotic nodules of the rectovaginal septum are three different entities. Fertil Steril 68, 585–596 (1997) - 4. I Brosens, S Gordts, P Puttemans, G Benagiano: Pathophysiology proposed as the basis for modern management of the ovarian endometrioma. Reprod Biomed Online 28, 232–238 (2014) - 5. Fauconnier A, Chapron C. Endometriosis and pelvic pain: epidemiological evidence of the relationship and implications. Hum Reprod Update 2005;11:595–606. - 6. Ballard K, Lane H, Hudelist G, Banerjee S, Wright J. Can specific pain symptoms help in the diagnosis of endometriosis? A cohort study of women with chronic pelvic pain. Fertil Steril 2010;94:20–27. - 7. Patel, M. D., Young, S. W., & Dahiya, N. (2019). Ultrasound of Pelvic Pain in the Nonpregnant Woman. Radiologic Clinics of North America, 57(3), 601–616. - 8. Karp, B. I., & Stratton, P. (2023). Endometriosis-associated chronic pelvic pain. Med (New York, N.Y.), 4(3), 143–146. - 9. Aiob A, Lowenstein L, Borik I, et al. The value of clinical symptoms, the neutrophil-to-lymphocyte ratio, and ultrasonographic features in predicting adnexal torsion: a case-control study. J Obstet Gynaecol Res. 2023;49:289–295. - 10. GuiY, ZhangX, MaL, et al. Analysis of ultrasound diagnosis quality for ovarian torsion and exploring the improvement mode. J Ultrasound Med. 2022;24:490–494.

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endometriosisendometrioma

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last seen: 2026-06-10T17:14:06.276822+00:00
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