Serous Cystadenoma Torsion during Pregnancy in Multiparous A Case Report

Abstract Ovarian cysts are common during pregnancy most cases are benign, but complications, such as torsion, and rupture can occur. The risk of torsion risk increases fivefold during pregnancy. It is associated with increased maternal and fetal morbidity and mortality if left untreated. In Madina National Hospital, we report the case of A 36-year-old multiparous at 9 weeks, she has four previous cesarean section deliveries, the last baby was two years ago, presented to the emergency severe left iliac fossa with no radiating pain with nausea, and vomiting for 4 hours. was not radiated. Ultrasound diagnosed a left ovarian cyst. The patient was prepared for immediate laparotomy after resuscitation. Intraoperative a cyst about 8cm with no signs of necrosis so detorsion and ovarian cystectomy were done, the cyst was removed intact, with minimal manipulation, and no intraoperative or postoperative complication, the other ovary was found to be normal. Histopathological examination revealed the presence of an ovarian serous cyst adenoma. She offered regular antenatal follow-up at our hospital with a healthy intrauterine fetus growing within. Keywords: Ovarian, torsion, serous, cystadenoma, pregnancy.