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Case Report
Ovarian torsion leading to necrosis: A case report
1 M.B.B.S., Senior House Officer, Department of Obstetrics and Gynecology, Queen Elizabeth Hospital, Bridgetown, St Michael, Barbados
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Keturah Murray
Queen Elizabeth Hospital, Martindales Road, Bridgetown, St Michael,
Barbados
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Article ID: 100222Z08KM2026
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Murray K. Ovarian torsion leading to necrosis: A case report. J Case Rep Images Obstet Gynecol 2026;12(1):5–8.ABSTRACT
The pathogenesis of ovarian torsion (OT) involves a physical twisting of the ovary on an attachment point that causes lymphatic, venous, and arterial obstruction progressing to ovarian thrombosis, edema, necrosis, and infarction. Ovarian torsion typically involves an ovary with a cyst or tumor, however, this phenomenon can occur in their absence. Ultrasound is the imaging modality of choice for the evaluation and diagnosis of ovarian torsion. Typical features include a unilateral enlarged ovary, uniform peripheral cystic structures, a coexistent mass within the affected ovary, free pelvic fluid, lack of arterial or venous flow, and a twisted vascular pedicle. Management is surgical; however, the specific approach depends on several factors, including the patient’s age, fertility desires, and the presence of underlying ovarian pathology. De-torsion and oophoropexy, rather than oophorectomy, are surgical techniques that are increasing in popularity.
Keywords: Adnexa, Necrosis, Ovary, Torsion
SUPPORTING INFORMATION
Author Contributions
Keturah Murray - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthor declares no conflict of interest.
Copyright© 2026 Keturah Murray. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
