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Raro co-ocurrencia de apendicitis, quiste dermoide ovárico con torsión: un informe de caso

Anish Paudyal¹, Sachin Bhatta¹, Sphurna Karki¹

¹Nepal Medical College and Teaching Hospital, Kathmandu University, Nepal.

Annals of medicine and surgery (2012)

|September 3, 2025

Resumen

La apendicitis simultánea y la torsión ovárica es una emergencia quirúrgica rara. El diagnóstico y la intervención tempranos son cruciales para prevenir complicaciones graves en mujeres con dolor abdominal agudo.

Área de la Ciencia:

Ginecología
Cirugía general
Medicina de emergencia

Sus antecedentes:

La torsión adnexal es una emergencia ginecológica a menudo causada por quistes ováricos.
La apendicitis es una causa común de dolor abdominal agudo, especialmente en personas más jóvenes.
La co-presentación de apendicitis y torsión adnexal es excepcionalmente rara.

Objetivo del estudio:

Para resaltar la rara ocurrencia de apendicitis y torsión ovárica simultáneas.
Subrayar la importancia de considerar las diferencias ginecológicas en las mujeres con dolor abdominal agudo.
Para subrayar la necesidad de una pronta intervención quirúrgica en tales casos.

Principales métodos:

Presentación de un caso de una mujer de 39 años con apendicitis y torsión ovárica.
El diagnóstico incluyó imágenes (ultrasonografía/TC) y laparotomía exploratoria.
El examen histopatológico confirmó ambas condiciones.

Principales resultados:

La paciente presentó síntomas que imitaban la apendicitis, más tarde fue diagnosticada con torsión ovárica debido a un quiste dermoide.
La laparotomía exploratoria reveló un ovario gangrenado con un quiste retorcido y un apéndice adherente.
La histopatología confirmó apendicitis aguda y un quiste dermoide benigno.

Conclusiones:

Este caso subraya la importancia crítica del diagnóstico precoz y la intervención quirúrgica para la apendicitis y la torsión ovárica simultáneas.
La consideración de la patología ginecológica es vital en mujeres en edad reproductiva que presentan dolor abdominal agudo.
El tratamiento inmediato es esencial para mitigar los riesgos de sepsis y mortalidad.

Palabras clave:

abdomen agudo Apendicitis aguda Cuello en el apéndice Informe de caso quiste dermoide torsión

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