The article emphasizes that women often overlook severe abdominal pain, mistaking it for common digestive issues, but it can signify gynecological emergencies like ovarian torsion, a condition where an ovary twists, cutting off its blood supply and potentially becoming life-threatening if treatment is delayed. A striking case involved a 56-year-old woman who presented with sudden, intense lower abdominal pain, later diagnosed as ovarian torsion with a large ovarian mass, leading to an extensive oncological surgery including hysterectomy and removal of reproductive organs and lymph nodes. Doctors explain that many ovarian masses are asymptomatic in early stages, and subtle symptoms like bloating are frequently dismissed, causing diagnostic delays, and highlight that sudden severe abdominal or pelvic pain, persistent bloating, and abdominal heaviness are warning signs that should not be ignored, particularly after menopause, as timely intervention is crucial for preventing serious complications and improving outcomes.

The article emphasizes that women often overlook severe abdominal pain, mistaking it for common digestive issues, but it can signify gynecological emergencies like ovarian torsion, a condition where an ovary twists, cutting off its blood supply and potentially becoming life-threatening if treatment is delayed. A striking case involved a 56-year-old woman who presented with sudden, intense lower abdominal pain, later diagnosed as ovarian torsion with a large ovarian mass, leading to an extensive oncological surgery including hysterectomy and removal of reproductive organs and lymph nodes. Doctors explain that many ovarian masses are asymptomatic in early stages, and subtle symptoms like bloating are frequently dismissed, causing diagnostic delays, and highlight that sudden severe abdominal or pelvic pain, persistent bloating, and abdominal heaviness are warning signs that should not be ignored, particularly after menopause, as timely intervention is crucial for preventing serious complications and improving outcomes.

The article emphasizes that women often overlook severe abdominal pain, mistaking it for common digestive issues, but it can signify gynecological emergencies like ovarian torsion, a condition where an ovary twists, cutting off its blood supply and potentially becoming life-threatening if treatment is delayed. A striking case involved a 56-year-old woman who presented with sudden, intense lower abdominal pain, later diagnosed as ovarian torsion with a large ovarian mass, leading to an extensive oncological surgery including hysterectomy and removal of reproductive organs and lymph nodes. Doctors explain that many ovarian masses are asymptomatic in early stages, and subtle symptoms like bloating are frequently dismissed, causing diagnostic delays, and highlight that sudden severe abdominal or pelvic pain, persistent bloating, and abdominal heaviness are warning signs that should not be ignored, particularly after menopause, as timely intervention is crucial for preventing serious complications and improving outcomes.

Women often dismiss abdominal pain as acidity, indigestion, or “just a stomach issue.” But in some cases, sudden severe pain can signal a serious gynaecological emergency that requires immediate treatment.

Dr Shobhika Selvaraj, Consultant, Obstetrics & Gynaecology, says ovarian torsion is one such condition that can quickly become life-threatening if ignored.

“Ovarian torsion happens when the ovary twists around itself, cutting off its own blood supply. The pain is usually sudden and severe, and delaying treatment can lead to tissue damage and other serious complications,” she explains.

A case that highlighted the risk

A 56-year-old woman was brought to Manipal Hospital, Sarjapur Road, with intense lower abdominal pain that had started suddenly, without any major warning signs.

Initial investigations, including a CT scan, revealed a large ovarian mass with torsion. The twisted ovary had already compromised blood flow, making it a surgical emergency. There was also concern about a possible underlying malignancy.

“She came in with only one symptom, severe pain, but internally, it was a critical situation. In such cases, every minute matters,” says Dr Shobhika. The patient was immediately taken up for surgery, initially planned as an open cystectomy. Yet, at the time of operation, certain characteristics were observed in the ovarian mass suggestive of mucinous cystadenoma, which implied a certain oncological hazard and necessitated an expansion of surgical procedures.

Oncologically extensive surgery was carried out; it included total hysterectomy, removal of both fallopian tubes and ovaries, excision of the pelvic and para-aortic lymph nodes, as well as omentectomy and biopsy of the peritoneum.

According to the attending surgeons, the timing of the operation played a crucial role since if the cyst had burst open within the abdomen, the patient would likely encounter considerable complications.

Why similar cases are often missed

Doctors say many ovarian masses grow silently and may not show noticeable symptoms in the early stages. In several women, mild bloating, pelvic discomfort, or changes in digestion are often mistaken for routine gastric issues or age-related changes, leading to delays in diagnosis and treatment.

Symptoms women should not ignore

Doctors say ovarian conditions can often remain silent for long periods, especially in postmenopausal women, where the risk of malignancy is higher.

Warning signs may include:

• Sudden severe abdominal or pelvic pain

• Persistent bloating

• Abdominal heaviness

• Nausea or vomiting

• Unexplained changes in appetite or digestion

“A lot of women tend to normalise pain or delay consultations. But sudden abdominal pain should never be ignored, especially after menopause,” says Dr Shobhika.

The patient recovered well after surgery and was monitored closely in the ICU before discharge. This case is a reminder that sometimes a single symptom can uncover a much deeper health issue, and timely medical attention can make all the difference.

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