Prospective Observational Study of Twisted Ovarian Tumor at a Tertiary Care Centre

Background: The challenges in the diagnosis and management of ovarian torsion are many. The present study was conducted in a tertiary healthcare centre of Aurangabad to determine the clinical presentation, USG features, management options and histopathological variants of twisted ovarian tumour. Material and Methods: Patients presenting with a diagnosis of twisted ovarian tumor were registered and the details noted. Patients were managed by laparotomy and specimen histopathological report noted. The clinical as well as histological findings were compiled on proforma and then subjected to analysis. Results: Total 50 patients were included in the study with the age range from 14 years to 43years (mean age was 29.10 ± 5.13 years).In the present study 27 (67.55%) patients were nulliparous,40 (80%) had normal BMI. The most common presenting symptom was abdominal pain 47 (94%) followed by nausea & vomiting 11(22%). Mean ovary / adnexa size was 6.3 cm (Range 3.7cm- 5.8cm). The most common finding on USG was Ovarian mass with/without oedema 42(84%). Forty-four (88%) patients were treated by detorsion with salphingoopherectomy. In 24 (84%) patients right side was affected. 45(90%) of patients did not have any post-operative complication. On his to pathological examination, most common finding was simple cyst 29 [65.90%] followed by mature cystic teratoma 9 (20.45%). Conclusion: Prompt intervention to preserve ovarian function should be done. De-torsion is the treatment of choice in women of reproductive age whose families are not complete.