PreprintArticleVersion 1Preserved in Portico This version is not peer-reviewed
“You’re Just Fat”: A 36 cm Cyst Causing an Ovarian Torsion in a Twenty-Year-Old Woman After Presenting Symptoms of Concern to her Doctor for Years—A Case Report
Version 1
: Received: 19 October 2023 / Approved: 20 October 2023 / Online: 20 October 2023 (10:30:20 CEST)
How to cite:
Udabor, A.; Becker, C.B.; Becker, J. “You’re Just Fat”: A 36 cm Cyst Causing an Ovarian Torsion in a Twenty-Year-Old Woman After Presenting Symptoms of Concern to her Doctor for Years—A Case Report. Preprints2023, 2023101315. https://doi.org/10.20944/preprints202310.1315.v1
Udabor, A.; Becker, C.B.; Becker, J. “You’re Just Fat”: A 36 cm Cyst Causing an Ovarian Torsion in a Twenty-Year-Old Woman After Presenting Symptoms of Concern to her Doctor for Years—A Case Report. Preprints 2023, 2023101315. https://doi.org/10.20944/preprints202310.1315.v1
Udabor, A.; Becker, C.B.; Becker, J. “You’re Just Fat”: A 36 cm Cyst Causing an Ovarian Torsion in a Twenty-Year-Old Woman After Presenting Symptoms of Concern to her Doctor for Years—A Case Report. Preprints2023, 2023101315. https://doi.org/10.20944/preprints202310.1315.v1
APA Style
Udabor, A., Becker, C.B., & Becker, J. (2023). “You’re Just Fat”: A 36 cm Cyst Causing an Ovarian Torsion in a Twenty-Year-Old Woman After Presenting Symptoms of Concern to her Doctor for Years—A Case Report. Preprints. https://doi.org/10.20944/preprints202310.1315.v1
Chicago/Turabian Style
Udabor, A., Chase Beverley Becker and Jan Becker. 2023 "“You’re Just Fat”: A 36 cm Cyst Causing an Ovarian Torsion in a Twenty-Year-Old Woman After Presenting Symptoms of Concern to her Doctor for Years—A Case Report" Preprints. https://doi.org/10.20944/preprints202310.1315.v1
Abstract
Background. Ovarian cysts are common in premenopausal women but can present with vague, non-specific symptoms, making discovery more challenging. Most are benign and resolve spontaneously; however, they can present, as in this case, as ovarian torsions, which is a gynecological emergency. Case presentation. A twenty-year-old female had presented over 3–4 times per year for the last 6 years to her primary doctor citing intermittent abdominal pain, irregular menstruation, dyspnea, and an enlarging abdomen circumference. The doctor stated, she was “just fat” and could, benefit from a “special camp to lose weight”, so she stopped mentioning her concerns. Upon presenting to the emergency department with acute onset abdominal pain, a computed tomography scan showed a large cyst lesion filling the abdominal and pelvic cavity. Its origin appeared to be from the left adnexa. Surgery was performed, and an acute ovarian torsion caused by a 36 cm craniocaudal left ovarian cyst was found and removed along with the left fallopian tube and 16 L of fluid. Conclusions. The value of respecting the “third presentation” rule indicates to health care providers that any patient who presents with any /or other symptoms or complaint needs to be thoroughly investigated. In this case the patient presented recurring pelvic/abdominal concerns, irregular menstruation, which warranted further investigation to safeguard fertility and prevent errors of omission. It is important to consider the differentials and be aware of vague symptoms that may lead to early recognition and effective management to prevent adverse consequences, complications, or even death.
Keywords
ovarian torsion; large cyst; acute abdomen; case report; fertility; third presentation rule; ovarian serous cystadenoma; diagnostic process in primary care, case report
Subject
Public Health and Healthcare, Primary Health Care
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
