Exploratory laparotomy diagnostic and management mainstay in a case of huge ovarian cyst torsion on late post postpartum period, at resource limited set up of leku general hospital,sidama,Ethiopia, case report

Abstract

Abstract Background: Huge ovarian cyst is a rare occurrence in postpartum period. Once existing ovarian cyst passes the pregnancy period, it is a risk for torsion on postpartum days when the gravid uterus involuted.Here we present a case of huge ovarian cyst torsion on late post partum period which is diagnosed and managed in our resource limited set up. Case presentation: this is a case of 30yrs old female patient who is on her 30th post partum date after she gave alive fetus at home. Then she noticed that her abdomen failed to decrease after delivery and waited for spontaneous decrement and lastly she visited health center for the newly developing worsened pain since last 3 days of her presentation to health center. Conclusion: This case reports that huge ovarian cyst accompanied pregnancy might not affect the pregnancy and vaginal delivery is possible but torsion is common in this case due to the involution of the postpartum uterus. Exploratory laparotomy in low resource set up is still the main stay for diagnosis and management of such emergency cases.