Clinical Cases

Right Sided Ovarian Torsion

Written by Vitan Gosain

Dr. Vitan Gosain presents a case of right-sided ovarian torsion in a woman of 30.

This is a case of right sided ovarian torsion with right adnexal haemorrhagic cyst (with clot retraction), and associated hepatomegaly, in a female of 30 years. The patient had agonising pain in the right ovarian region and was not able to breathe or walk because of the same. She had to be taken to a diagnostic lab nearby for an ultrasound and the radiologist gave the above diagnosis. She was advised to immediately opt for surgery as the cyst could burst and may lead to further complications like infection, peritonitis or sepsis.There was tenderness at the site affected. The patient also had severe nausea.

After getting the ultrasound done, the patient visited me on 9th January, 2018. She could not afford the surgery. The agonising pain was clearly visible on her face.

The patient said that her daughter was married a few days prior to the development of the disease which caused some amount of grief. She also said that she had started an account with a bank but was not able to deposit any money in over theĀ  last six months. She had to struggle to make both ends meet as her husband was a chronic alcoholic, who used to take all her money and hit her if she resisted. She had to get her daughter married and make sure that she has some sort of savings for the future.

When I asked the patient which stress was more bothersome, she said that the daughter had to be married sometime, but the loss of money gave her a lot of stress. After the diagnosis she was worried that if something happened to her, who will look after her husband. The effect of the whole scenario was disappointment.

PHYSICAL GENERALS

Appetite – extremely poor

Desires- salty

Thirst- more when she exerts

Sweat- on face

Stool – once daily, nad

Urine- D4-5,N0-1, nad

Sleep- disturbed because of tensions as she thinks a lot about the future; hypnic jerk on going into sleep.

Dreams- of running

Thermal- Chilly (+++)

ON OBSERVATION

*Tongue- coated more at rear

*Involuntary sighing (+++)

*Melasma on face

ON INTERROGATING

*History of right sided sun headaches and pain in right shoulder few months back.

*Averse to tobacco smoke

*Teeth sensitive to cold.

PRESCRIPTION : IGNATIA 200, UNIT DOSE.

BASIS OF PRESCRIPTION

*Chilly

*Conscientious and diligent

*Bold

*Sensitive (even towards the husband who used to hit her and take her money).

*Disappointment

*Averse to tobacco smoke

*Hypnic jerk on going into sleep.

*Involuntary sighing

* Brooding in solitude

FOLLOW UP

The scan done after ten days was normal, and no other allopathic or ayurvedic medication was being given. A single dose of the homoeopathic medicine aborted the need for surgery.

My own conviction in homoeopathy and the single remedy was strengthened. The most important proof was the fact that her facial expression was happier as compared to the time when she was first seen, and she also asked as to when she can start working again, which shows that the general well being was also improved along with the reversal of the pathology.

About the author

Vitan Gosain

Vitan Gosain received his BHMS one year ago from Nehru Homoeopathic Medical College (Delhi University). Now there are two homeopaths in his family, as his father Dr. Bimal Gosain is also a homoeopathic physician, practicing for the last 30 years. Vitan has been sitting in on cases with his father regularly for the last five years. He also learned from Dr. L.M. Khan of Calcutta.

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