IMR Press / EJGO / Volume 41 / Issue 1 / DOI: 10.31083/j.ejgo.2020.01.5115
Open Access Case Report
Primary papillary serous carcinoma presenting as acute ovarian torsion in postmenopausal woman: a case report
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1 Department of Obstetrics and Gynecology, "Perrino" Hospital, Brindisi, Italy
2 Department of Obstetrics and Gynecology, University Medical School "A. Gemelli", Rome, Italy
3 2 ° Department of Obstetrics and Gynecology, University Medical School "A. Moro", Bari, Italy
4 Department of Obstetrics and Gynecology, "Cannizzaro" Hospital, Catania, Italy
5 Department of Obstetrics and Gynecology, University Medical School, Foggia, Italy
Eur. J. Gynaecol. Oncol. 2020 , 41(1), 155–156; https://doi.org/10.31083/j.ejgo.2020.01.5115
Published: 15 February 2020
Abstract

A 51-year-old postmenopausal woman, with an uneventful past gynecologic history, was admitted to the present hospital with a diagnosis of severe pelvic pain due to a suspected ovarian torsion treated with different drugs intravenously without any improvement of symptoms. As a consequence of the increasing pelvic pain, a laparoscopic surgical treatment was decided: a left necrotic ovarian mass and pelvic peritoneal carcinomatosis were visualized and the procedure was converted from laparoscopy to laparotomy that confirmed a diagnosis of primary ovarian papillary serous carcinoma and permitted an adequate treatment. This is a rare case in literature of severe pelvic pain due to an acute ovarian torsion that permitted a prompt diagnosis and treatment of malignancy.

Keywords
Pelvic pain
Acute ovarian torsion
Primary ovarian papillary serous carcinoma
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