Abstract

Ovarian cysts are fluid-filled sacs on the ovary, with a global incidence of 16.7% and higher prevalence in women of reproductive age. Complications include torsion, haemorrhage, rupture, or infection. Torsion is the most common and serious complication often presenting in the first trimester of pregnancy. A 24-year-old primigravida presented with severe lower abdominal pain at 10 weeks gestation. She was diagnosed with a torsioned ovarian cyst coexisting with an intrauterine pregnancy. Emergency laparotomy with ovarian cystectomy was performed, and she had a normal pregnancy outcome. Torsion of an ovarian cyst in pregnancy poses challenges due to the need to balance the safety of both mother and child. Surgery is the recommended treatment modality for ovarian cyst torsion presenting with acute abdomen.

Key words: Ovarian cyst, torsion, adnexal mass, pregnancy, ovarian cystectomy