ArticleJournal of surgical case reports2026
Cord-like omental entanglement causing right ovarian torsion in an octogenarian woman: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Cord-like omental entanglement is a rare cause of visceral strangulation, previously reported mainly in bowel obstruction. We report a case in which a cord-like segment of omentum wound once around the utero-ovarian ligament, forming a knot that caused right ovarian torsion in an 80-year-old woman. She presented with a progressively enlarging abdominal mass measuring 100 × 220 mm. Laparotomy revealed omental entanglement with 180-degree torsion of the right ovary. Release of the knot restored blood flow, after which right salpingo-oophorectomy and resection of the cord-like omentum were performed. Histopathologic examination confirmed ischemic changes in a pre-existing ovarian cyst consistent with torsion-induced ischemia. The patient was discharged on postoperative Day 23 and remained well at follow-up. This case indicates that a cord-like omentum can act as an extrinsic trigger of ovarian torsion via a novel mechanism, and that ovarian torsion can occur in elderly women despite its predilection for reproductive-age females.
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