Chronic Left Lower Quadrant Pain-A Case Report of Synchronous Bilateral Ovarian Torsion.
Schyler B Edwards, Liina Poder, Wenjia Zhang
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Case in brief
A 40-year-old woman presented with chronic left lower-quadrant pain and was found to have synchronous torsion of both ovaries. The torsion caused ischemic injury to the ovarian parenchyma and resulted in premature ovarian failure.
What made this case unusual
Bilateral ovarian torsion occurred synchronously despite the presentation being chronic and left-sided, rather than the severe unilateral pain commonly associated with torsion.
Diagnostic / clinical pearl
Pelvic pain in a reproductive-aged woman should prompt consideration of ovarian torsion, including the possibility of synchronous bilateral involvement.