Abstract:

Ovarian cyst is a common gynecological disease, which can be seen at all ages during the reproductive age, and ovarian follicular cyst is an ovarian tumor-like lesion that lacks specific symptoms. In childhood and adolescence, ovarian follicular cyst may present as adnexal torsion. In recurrent ovarian follicular cyst, short-acting contraceptives can effectively promote the regression of follicular cysts and prevent the formation of follicular cysts. This paper reports a case of recurrent adolescent ovarian cyst treated with short-acting contraceptive pills after two torsion operations for ovarian cysts. In this case, the patient was admitted twice for torsion of the pedicle of ovarian cyst and underwent surgical treatment, and both recurred again within a short period of time after the two surgical treatments, both of which were multilocular and huge cysts, which was relatively uncommon. Considering the age of the patient and the history of two operations on ovarian cysts in a short period, due to the concept of fertility protection and long-term management, no further operation was chosen after the second postoperation recurrence. The patient was given short-acting oral contraceptives for 5 months, during which the cysts gradually decreased in size until they disappeared. No recurrent ovarian cyst was found in regular follow-up review.

Key words: Ovary, Follicular cyst, Ovarian torsion, Adolescent, Diagnosis, Therapy