Ovarian torsion in a patient with müllerian agenesis: increased risk?

Abstract

Background: Patients with müllerian agenesis may be at an increased risk of ovarian torsion due to the absence of the utero-ovarian ligament and the fact that the ovary is not tethered to a fixed and relatively non-mobile structure, the uterus.

Case: We report a case of a 14-year-old female with abdominal pain who had a physical examination suggestive of müllerian agenesis. Imaging was non-diagnostic and demonstrated an abdominal mass. Emergent surgery revealed ovarian torsion.

Summary and conclusion: We present this case of ovarian torsion and müllerian agenesis, in order to highlight the association and to review potential risk factors.