Ovarian torsion during the first trimester of pregnancy: a case report and review of literature

Background: Ovarian torsion comprises a challenging gynecologic emergency, predominantly concerning women of reproductive age and its occurrence during pregnancy is considered particularly demanding. Despite being characterized by non-specific clinical manifestations, the majority of cases typically present with acute abdominal pain. Pelvic ultrasonography provides useful preclinical information and remains an integral component of the diagnostic approach. Early diagnosis and surgical treatment are imperative in order to preserve ovarian viability and fertility, especially in women of reproductive age. Case Presentation: We herein report a rare case of ovarian torsion in a 24-year-old pregnant woman presenting with acute lower abdominal pain. Pelvic ultrasonography revealed a right ovarian mass as well as an absence of blood flow to the right ovary. Exploratory laparotomy confirmed the clinical suspicion of right ovarian torsion and oophorectomy was performed; histopathological examination revealed a corpus luteum cyst of the right ovary and confirmed the diagnosis. Following surgery, the patient miscarried. Conclusion: Ovarian torsion during pregnancy is a challenging condition that necessitates immediate medical intervention.