Comment on: Case report of ovarian torsion mimicking ovarian cancer as an uncommon late complication of laparoscopic supracervical hysterectomy

I have read with interest the paper titled “Case report of ovarian torsion mimicking ovarian cancer as an uncommon late complication of laparoscopic supracervical hysterectomy” written by Ciebiera et al. and published in “Menopause Review” in 2016; 15: 223-226. The authors described what they call an unusual presentation of an adnexal +10 cm large mass with adnexal torsion in a 46-year-old woman who previously had laparoscopic hysterectomy with unilateral adnexectomy due to fibroids, and a haemorrhagic cyst of her left ovary. The patient had preoperative tumour markers assessment, pelvic ultrasound, and pelvic computed tomography. The Authors claim that all these studies indicated an “elevated risk of malignancy”, and because of this, laparotomy with midline vertical incision was performed. During surgery they collected multiple cytological smears and “mid-surgical evaluation with the possibility of conversion to a full oncological profile (excision of the cervix, greater omentum, appendix, and lymphadenectomy)” was planned. To document their thesis, two preoperative sonographic images of the smooth-shaped solid-cystic mass are presented. Despite a detailed description of the preoperative diagComment on: Case report of ovarian torsion mimicking ovarian cancer as an uncommon late complication of laparoscopic supracervical hysterectomy