CanSAGE 2022 | 18 – Unilateral uterosacral oophoropexy for refractory idiopathic ovarian torsion in a PCOS adolescent patient
This a case of a 19 year-old nulligravid woman with PCOS who presented for recurrent right ovarian torsion without an adnexal mass or cyst and despite two detorsion surgeries and two failed oophoropexies. The proposed technique is to fix the ovary to the uterosacral ligament using a non-resorbable suture. This technique gives more stability to the ovary in the posterior cut-de-sac and prevents the recurrence of ovarian torsion. Ovarian torsion has not occurred in this patient since performing this fixation 12 months ago. In conclusion uterosacral oophoropexy should be considered in cases of recurrent idiopathic ovarian torsions.