Torsion of uterine adnexa usually causes pain and is treated as an acute surgical emergency. Adnexal torsion seen in adult life is usually associated with some abnormality such as ovarian cyst. Asymptomatic torsion, necrosis, and amputation of adnexa ...
Torsion of uterine adnexa usually causes pain and is treated as an acute surgical emergency. Adnexal torsion seen in adult life is usually associated with some abnormality such as ovarian cyst. Asymptomatic torsion, necrosis, and amputation of adnexa may explain their unilateral absence without other genitourinary abnormality. If a total embryonic error or selective dysgenesis of the urogenital ridge occurs, ipsilateral anomalies usually involves adjacent structures of both the urinary and genital system. However, no anomalies of the uterus and urinary structures appeared evident in any reviewed case. Therefore, adnexal torsion with subsequent infarction, necrosis and autoamputation represents the most likely explanation for this phenomenon. We have experienced two cases of autoamputated ovarian cyst and report with brief review of literatures.