Key result
A rare case of fetal ovarian torsion presenting as an intraabdominal solid diffuse mass and ascites without an underlying ovarian cyst was managed with a wait-and-see policy.
Why the study?
Fetal ovarian torsion is rare during the antenatal period and typically complicates an ovarian cyst, with a lack of consistent management recommendations.
Case Report (n=1)
Fetal ovarian torsion can present as a solid abdominal mass with ascites without an underlying ovarian cyst, and a wait-and-see policy is usually preferred.
Broadens differential for fetal intraabdominal masses with ascites; leaves open optimal management of atypical torsion.
Fetal ovarian torsion is quite a rare event during the antenatal period and usually seen because of an ovarian cyst complication. In this case report, we present a case of fetal ovarian torsion without any ovarian cyst or underlying detectable causes. A 27-year-old primigravid woman with no significant past medical history had a routine prenatal ultrasound at 30 weeks' gestation. The ultrasound showed abdominal ascites and a 47×42-cm intraabdominal solid diffuse mass at the left side under the stomach. Doppler examination showed no blood flow on the mass. Paracentesis was performed, cytological examination reported no abnormality. Based on these findings, the diagnosis was thought to be fetal ovarian torsion. There is lack of consistent recommendations to guide the prenatal and the postnatal management of cases with in-utero diagnosis of ovarian torsion. A "wait-and-see" policy is usually preferred, as in our case.
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Sütçüoğlu et al. (2022) conducted a case report in Fetal ovarian torsion (n=1). Wait-and-see policy was evaluated. A rare case of fetal ovarian torsion presenting as an intraabdominal solid diffuse mass and ascites without an underlying ovarian cyst was managed with a wait-and-see policy.
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