Posthysterectomy Bilateral Simultaneous Ovarian Torsion in the Absence of Adnexal Masses: A Rare Case Report

Background Ovarian torsion (OT) is a common and serious gynecological emergency that accounts for 2%–3% of acute pelvic pain presentations to the emergency department (ED). OT most commonly occurs in the setting of a reproductive‐aged woman with an existing ovarian mass; however, OT can occur in a variety of ages with or without ovarian masses. Despite the variability in presentation, nearly all OT cases occur unilaterally. Asynchronous bilateral OT (ABOT) is a rare occurrence where both ovaries torse at different times. Case This is the case of a 36‐year‐old female patient with a history of prior hysterectomy who presented to the ED with vague abdominal pain and was found to have bilateral OT in the absence of existing ovarian masses. Conclusion ABOT is a rare variant of OT that has seldom been described in literature since the first case was described nearly 90 years ago. ABOT can cause sterility and premature menopause, and future research should identify the factors that may contribute to this condition.