Laparoscopic management of a large torted ovarian cyst in an adolescent virgin: A case report

Mohamed Sabry, Abdou S. Ait Allah, Eman Roshdy, Ayman Al-Hendy

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


We report a case of a torted mature cystic teratoma in a 23-year-old, sexually inactive, virgin female which necessitated immediate laparoscopy. The patient and her family stressed that the integrity of the hymen must be maintained at any cost, for cultural reasons. We opted out of our routine intravaginal preparation for laparoscopic surgery to honor the patient's request to maintain the integrity of the hymen. Left salpingo-oophorectomy was accomplished, and the specimen was removed using a large nephrectomy endobag. Here, we describe techniques that are useful for this procedure, including the use of gauze attached to ovum forceps to manipulate the uterus through the rectum, and a review of the literature.

Original languageEnglish (US)
Pages (from-to)223-225
Number of pages3
JournalInternational Journal of Women's Health
Issue number1
StatePublished - 2012
Externally publishedYes


  • Cultural sensitivity
  • Laparoscopic management
  • Large torted cyst
  • Ovarian teratoma
  • Treatment option
  • Virgin female

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology
  • Maternity and Midwifery


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