Unusual Cause of Colonic Occlusion: Large, Twisted Ovarian Cyst Compressing the Sigmoid Colon

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Abdelilah Elbakouri
Amine Bachar
Abdessamad Elazhary
Khalid Elhattabi
Fatimazahra Bensardi
Abdelaziz Fadil

Abstract

Bowel obstruction is a common complication of advanced ovarian cancer and is rarely described in benign cystic lesions. We report a case of colon obstruction secondary to torsion of a large benign ovarian cyst.

Case presentation: A 25-year-old woman without antecedents was admitted to hospital for sigmoid colon occlusive syndrome. A CT scan revealed a large cyst probably of ovarian origin, resulting in compression of the sigmoid colon. After conditioning, we performed an exploratory laparotomy, revealing a twisted and necrotic right ovarian cyst compressing the recto-sigmoid hinge with its root. A straight adnexectomy was made, the histological findings confirmed the presence of a benign functional ovarian cyst. The hospital stay was uneventful and the symptoms of bowel obstruction were resolved immediately. Torsion of an ovarian cyst is not described as a cause of colon obstruction so far in the medical literature.

Keywords:
Colonic occlusion, ovarian cyst, sigmoid colon, adnexectomy.

Article Details

How to Cite
Elbakouri, A., Bachar, A., Elazhary, A., Elhattabi, K., Bensardi, F., & Fadil, A. (2020). Unusual Cause of Colonic Occlusion: Large, Twisted Ovarian Cyst Compressing the Sigmoid Colon. Asian Journal of Case Reports in Surgery, 3(4), 5-8. Retrieved from https://journalajcrs.com/index.php/AJCRS/article/view/30126
Section
Case Study

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