Author(s)

Michèle Florence Mendoua^1*, Serge Nyada¹, Basile Essola², Marcel Gérardin Mbarga³, Dominique Noah Noah⁴

¹Department of Gynaecology-Obstetrics, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon.
²Department of Surgery, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.
³Département de Radiology and Medical Imaging, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.
⁴Department of Clinical Sciences, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.

The diagnosis and the treatment of twisted ovarian tumors are still challenging, especially in adolescent girls. We describe an adolescent girl with a twisted ovarian cyst, in whom emergent laparoscopic surgery was successful. She visited us due to severe abdominal pain. Ultrasound revealed a large cystic mass, indicative of an ovarian cyst. Laparoscopy revealed a large left ovarian cyst twisted on its axis. We punctured the cyst and detorsed it. The lessons learned here are: sudden-onset abdominal pain of adolescent associated with nausea and vomiting is strongly suggestive of a ovarian cyst torsion; ultrasound should be performed immediately, if ovarian cyst torsion is suspected, timely intervention with diagnostic laparoscopy is indicated, a minimally invasive surgical approach is recommended to preserve the adnexal structures and ovarian function.

Torsion, Ovarian Cyst, Teenager, Laparoscopy

Mendoua, M. , Nyada, S. , Essola, B. , Mbarga, M. and Noah, D. (2022) Laparoscopic Management of a Large Ovarian Cyst Twist in a 14-Year Old Young Girl in Emergency: A Case Report. Open Journal of Obstetrics and Gynecology, 12, 1328-1333. doi: 10.4236/ojog.2022.1212117.