Benign Ovarian Tumor Presenting with Ovarian Torsion in Premenopausal Women

This protocol addresses the management of a benign ovarian tumor when it occurs in the specific context of ovarian torsion in a premenopausal patient — a time-sensitive clinical situation that calls for a fertility-preserving approach.

Clinical scenario

The patient is premenopausal and presents with ovarian torsion alongside a benign ovarian tumor. Preserving ovarian function is a key consideration in this population when the clinical situation allows.

Treatment approach (partial)

When feasible, the recommended approach involves a surgical intervention directed at the torsion itself — the full sequencing, technique decisions, and any additional procedures are detailed in the complete protocol.

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References

DOI: 10.1016/j.jogc.2020.01.014

When possible, premenopausal women with torsion should undergo simple de-torsion of the ovary, with or without cyst removal (which may require a second surgery).

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