A Case Report of Twisted Ovarian Cyst in an 8-year-old Girl undergoing Cystectomy through a Small Incision

Abstract

We present a case of twisted ovarian cyst who underwent cystectomy through a small abdominal incision. An 8-year-old girl developed right lower abdominal pain, nausea and a large mass in the lower abdomen. Ultrasonography and computerized tomography revealed a 10cm cystic mass including calcification. Under general anesthesia, the mass moved freely, leading to diagnosis of a twisted ovarian cyst. Through a 4cm transverse incision, she underwent cystectomy to preserve the ovary, following aspiration of 300cc bloody content from the cyst. Another ovary appeared normal. Histology showed mature teratoma. Postoperative course was uneventful with minimum incisional pain. Small incisional approach may be useful for postoperative recovery and cosmetic benefit in extirpation of the ovarian cyst.