1. A laparoscopic approach to treating torsion of a nonpregnant uterus accompanied by a large ovarian cyst in a premenarchal girl
- Author
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Adriana Cartafina Perez-Bóscollo, Nádia Bicego Vietez, Robson Azevedo Dutra, and Fernanda Cristina Silva Alves Ribeiro
- Subjects
medicine.medical_specialty ,Torsion Abnormality ,media_common.quotation_subject ,Ovariectomy ,Uterus ,Physical examination ,Hysterectomy ,Risk Assessment ,Severity of Illness Index ,medicine ,Humans ,Cyst ,Girl ,Child ,media_common ,Menarche ,Ovarian cyst ,medicine.diagnostic_test ,Partial Hysterectomy ,business.industry ,Ovary ,Puberty ,General Medicine ,medicine.disease ,Abdominal mass ,Surgery ,Abdominal Pain ,Ovarian Cysts ,medicine.anatomical_structure ,Treatment Outcome ,Infarction ,Pediatrics, Perinatology and Child Health ,Vomiting ,Female ,Laparoscopy ,medicine.symptom ,business ,Tomography, X-Ray Computed ,Follow-Up Studies - Abstract
A 10-year-old premenarchal girl was admitted to our hospital with moderate abndominal pain, although presenting no vomiting or abdominal rebound tenderness. A large abdominal mass was visible and palpable in the periumbilical and epigastric regions. Results of physical examination revealed that the general health status was satisfactory. Computed tomographic scan revealed a large, thin-walled cyst occupying nearly the entire peritoneal cavity. The other viscera were of normal aspect. A laparoscopic approach revealed a left ovarian cystic tumor that was twisted 360° in conjunction with the uterine corpus with hemorrhagic infarction. A partial hysterectomy and a left salpingo-oophorectomy were carried out. The tumor was classified as mature cystic teratoma of the ovary accompanied by hemorrhagic necrosis, not only of the cyst but also of the left uterine tube and the uterine corpus.
- Published
- 2007