Torsion of a Solitary Ovary Associated with a Paraovarian Cyst: A Rare Presentation with Spontaneous Detorsion

Ovarian torsion is a prevalent gynaecological emergency in the juvenile population that necessitates immediate surgical intervention to preserve ovarian viability, while spontaneous detorsion is a rare and little-reported phenomenon. An unusual case of an 11-yearold girl presenting with acute pelvic pain and generalised weakness is reported. Initial pelvic ultrasonography revealed a solitary ovary with imaging features suggestive of ovarian torsion, which was subsequently confirmed on abdominal MRI at a higher centre. The patient was scheduled for emergency surgical exploration; however, intraoperatively, the afflicted ovary was discovered to have undergone spontaneous detorsion, resulting in normal morphology and vascularity. This case emphasises the necessity of early imaging in suspected ovarian torsion, the uncommon likelihood of spontaneous detorsion, and the possible role of conservative, ovary-preserving surgical techniques in juvenile patients when ovarian viability is maintained.