Exploratory Laparotomy Diagnostic and Management Mainstay in a Case of Huge Ovarian Cyst Torsion on Late Postpartum Period, at Resource Limited Setup of Leku General Hospital, Sidama, Ethiopia: Case Report

Background: Huge ovarian cyst is a rare occurrence in postpartum period. Once existing ovarian cyst passes the pregnancy period, it is a risk for torsion on postpartum days when the gravid uterus involuted. Here we present a case of huge ovarian cyst torsion on late postpartum period which is diagnosed and managed in our resource limited set up. Case Report: this is a case of 30 years old female patient who is on her 30th postpartum date after she gave alive fetus at home. Then she noticed that her abdomen failed to decrease after delivery and waited for spontaneous decrement and lastly, she visited health center for the newly developing worsened pain since last 3 days of her presentation to health center. Conclusion: This case reports that huge ovarian cyst accompanied pregnancy might not affect the pregnancy and vaginal delivery is possible but torsion is common in this case due to the involution of the postpartum uterus. Exploratory laparotomy in low resource set up is still the main stay for diagnosis and management of such emergency cases.

Department of Emergency Surgery, Leku Hospital, Ethiopia

^*Correspondance to: Asfaw Kibret 

 PDF  Full Text DOI: 10.25107/2474-1647.3661

Abstract

Background: Huge ovarian cyst is a rare occurrence in postpartum period. Once existing ovarian cyst passes the pregnancy period, it is a risk for torsion on postpartum days when the gravid uterus involuted. Here we present a case of huge ovarian cyst torsion on late postpartum period which is diagnosed and managed in our resource limited set up. Case Report: this is a case of 30 years old female patient who is on her 30th postpartum date after she gave alive fetus at home. Then she noticed that her abdomen failed to decrease after delivery and waited for spontaneous decrement and lastly, she visited health center for the newly developing worsened pain since last 3 days of her presentation to health center. Conclusion: This case reports that huge ovarian cyst accompanied pregnancy might not affect the pregnancy and vaginal delivery is possible but torsion is common in this case due to the involution of the postpartum uterus. Exploratory laparotomy in low resource set up is still the main stay for diagnosis and management of such emergency cases.

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Cite the article

Kibret A, Bayu E. Exploratory Laparotomy Diagnostic and Management Mainstay in a Case of Huge Ovarian Cyst Torsion on Late Postpartum Period, at Resource Limited Setup of Leku General Hospital, Sidama, Ethiopia: Case Report. Clin Surg. 2023; 8: 3661..