Open AccessHow to Approach to Torsional Adnexal Mass in a Geriatric Age Woman: A Case Report and Literature Review
Author(s) -
Recep Erin,
Yeşim Bayoğlu Tekın,
Fatma Gülgün Koçak
Publication year - 2019
Publication title -
international journal of innovative research in medical science
Language(s) - English
Resource type - Journals
ISSN - 2455-8737
DOI - 10.23958/ijirms/vol04-i09/747
Subject(s) - medicine , adnexal mass , laparotomy , surgery , pelvis , vomiting , abdominal pain , malignancy , nausea , radiology , pathology
We aimed to present how to approach to the postmenopausal torsional adnexal masses, accompanied by a case report and literature review. A 90 year-old geriatric age woman with G5P5 admitted to emergency department with complaints of nausea, vomiting and abdominal pain. We detected a tumoral mass with solid component and irregular surface suspected malignancy in the midline of the pelvis. Laparotomy was performed due to the suspicion of torsion and malignancy. We detected a approximately 25 cm torsional blue-purple colored tumoral mass originating from the right ovary and performed total abdominal hysterectomy and bilateral salpingo-oferectomy. Pathology was reported as a sex cord stromal tumor with torsional. The patient was discharged with complete recovery on the 3rd postoperative day. Adnexal torsion is a gynecologic emergency. It should be considered in postmenopausal women who present with abdominal pain and adnexal mass.