A case of emergency laparoscopic bilateral salpingo-oophorectomy in an elderly patient with a colostomy

There have been few reports on laparoscopic surgery in the field of gynecology for patients with a stoma, and the optimal surgical procedure remains unclear. We report a case of emergency laparoscopic surgery for ovarian tumor torsion in an elderly patient with multiple underlying medical conditions, including a colostomy. The patient was 86 years old, and had multiple underlying diseases: type 2 diabetes, Parkinson’s syndrome, hypertension, hyperlipidemia, and lumbar spine compression fracture. In addition, she had undergone eight surgical procedures, including Hartmann’s operation, coronary artery bypass graft, and subdural hematoma evacuation. She presented to our hospital with left lower abdominal pain, and was diagnosed with torsion of a left ovarian cyst by CT imaging and gynecologic examination.