Fetal Ovarian Torsion Presenting with Fetal Abdominal Solid Mass and Ascites

Mutlu Sütcüoǧlu B., Karçaaltlncaba D., GÜLER İ.

Zeitschrift fur Geburtshilfe und Neonatologie, vol.227, no.1, pp.64-66, 2023 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 227 Issue: 1
  • Publication Date: 2023
  • Doi Number: 10.1055/a-1968-7319
  • Journal Name: Zeitschrift fur Geburtshilfe und Neonatologie
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, MEDLINE
  • Page Numbers: pp.64-66
  • Keywords: benign disease of ovarian fallopian tubes, case report, fetal ovarian torsion, perinatal diagnosis, ultrasound
  • Lokman Hekim University Affiliated: Yes


Fetal ovarian torsion is quite a rare event during the antenatal period and usually seen because of an ovarian cyst complication. In this case report, we present a case of fetal ovarian torsion without any ovarian cyst or underlying detectable causes. A 27-year-old primigravid woman with no significant past medical history had a routine prenatal ultrasound at 30 weeks' gestation. The ultrasound showed abdominal ascites and a 47×42-cm intraabdominal solid diffuse mass at the left side under the stomach. Doppler examination showed no blood flow on the mass. Paracentesis was performed, cytological examination reported no abnormality. Based on these findings, the diagnosis was thought to be fetal ovarian torsion. There is lack of consistent recommendations to guide the prenatal and the postnatal management of cases with in-utero diagnosis of ovarian torsion. A wait-and-see policy is usually preferred, as in our case.