DOI: https://doi.org/10.36347/sjmcr.2025.v13i08.008

Pages: 1792-1794

Introduction: Ovarian torsion is a gynecological emergency often associated with ovarian cysts. Prompt diagnosis is essential to preserve reproductive function, especially in young women. Case Presentation: We report the case of a 20-year-old unmarried and virgin female who presented with progressively worsening right lower abdominal pain for three days. Imaging revealed a large hemorrhagic ovarian cyst measuring 11 cm, with features suggestive of torsion. Laparoscopy revealed right adnexal torsion with four complete twists and cyanosis of the ovary and fallopian tube. A cystectomy and right oophorectomy were performed. After 20 minutes, the initially cyanosed tube revascularized spontaneously. The patient recovered uneventfully. Discussion: This case emphasizes the diagnostic and surgical challenges in managing ovarian torsion in virginal patients. The size and hemorrhagic nature of the cyst likely contributed to the torsion. Early intervention allowed fallopian tube preservation despite delayed presentation. Conclusion: Ovarian torsion should be suspected in young women with prolonged pelvic pain. Even after several days, surgical exploration may allow partial preservation of reproductive structures.