A Rare Case of Recurrent Ovarian Torsion in a Premenarchal Patient Occurring Twice Within a Two-Month Period

Ovarian torsion is defined as the twisting of the ovary at its pedicle, which can result in significant vascular and lymphatic compromise. This condition is a rare gynecological emergency, warranting prompt recognition and diagnosis. This report describes an 11-year-old girl who presented with a two-day history of left iliac fossa pain and associated vomiting. Ultrasound revealed a 3-cm simple ovarian cyst on the left ovary, with preserved blood flow but evidence of ovarian edema, raising suspicion for ovarian torsion. The patient underwent a diagnostic laparoscopy, which confirmed left ovarian torsion, and a detorsion was performed. Nine weeks later, the patient re-presented with similar symptoms, and intraoperative findings again confirmed left ovarian torsion. At this presentation, left ovarian detorsion and cystectomy were performed. This case underscores the diagnostic challenges posed by the nonspecific presentation of ovarian torsion and highlights the importance of investigating predisposing factors in recurrent cases.