Chronic Left Lower Quadrant Pain—A Case Report of Synchronous Bilateral Ovarian Torsion

Ovarian torsion, caused by the twisting of the ovary on the axis of its vascular and ligamentous support, is among the most common gynecologic surgical emergencies prompting patients to seek care. Patients may present to the Emergency Department with severe unilateral abdominal pain and other associated symptoms such as nausea or vomiting, resulting in consideration of this pathology. While unilateral ovarian torsion is relatively uncommon, synchronous bilateral ovarian torsion is exceedingly rare. We present a case of synchronous bilateral ovarian torsion with ischemic injury to ovarian parenchyma resulting in premature ovarian failure in a 40-year-old woman. To our knowledge, there have been limited prior recordings of this case in the literature, highlighting a need for providers in all disciplines to consider this pathology in a reproductive-aged woman with pelvic pain.