Large bilateral ovarian cysts with left ovarian torsion and right dermoid cyst

Sara Ait Souabni, El Habib Belhaddad

PAMJ. 2020; 37:191. Published 29 Oct 2020 | doi:10.11604/pamj.2020.37.191.26328

We report the case of a 19-year-old patient, with medical history of hypothyroidism and nulligravida, who presented with acute pelvic pain progressing for 5 days. On clinical examination, the patient was stable and had pelvic tenderness. The speculum and vaginal examination were not performed on account of the patient being a virgin. A pelvic magnetic resonance imaging (MRI) was performed showing a cystic right ovarian lesion measuring 9.7 x 7 x 6 cm of benign appearance with swollen ovary probably related to a torsion; associated with a left ovarian lesion measuring 10 x 10 x 6 cm with a double cystic and fatty component in favor of a dermoid cyst (A,B,C). Surgical exploration showed two large bilateral ovarian cysts (D). The right ovary was the site of 3-whirl torsional ischemia. The left ovary presented with a large cyst with a fatty and fluid cartilaginous component (E). The uterus was unicorn with the presence of a rudimentary straight horn. The operative procedure consisted of a bilateral cystectomy with right salpingectomy in order to avoid an ectopic pregnancy on a rudimentary horn. The right ovary revascularized after untwisting and the postoperative course was normal.
Corresponding author
Sara Ait Souabni, Faculty of Medicine and Pharmacy of Marrakech, Cadi Ayyad University, Marrakech, Morocco (

The Pan African Medical Journal (ISSN: 1937-8688) is a subsidiary of the Pan African Medical Journal. The contents of this journal is intended exclusively for professionals in the medical, paramedical and public health and other health sectors.

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