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A Challenge in Diagnosis and Management: Uterine Torsion in Childhood.
- Source :
-
Journal of pediatric and adolescent gynecology [J Pediatr Adolesc Gynecol] 2021 Feb; Vol. 34 (1), pp. 61-64. Date of Electronic Publication: 2020 Oct 01. - Publication Year :
- 2021
-
Abstract
- Background: Uterine torsion is a rare event, which mostly reported in females with a gravid uterus and is exceptionally rare in children.<br />Case: A 9-year-old girl presented with 3 days of intermittent lower abdominal pain. Ultrasound revealed an ovarian mass, but laparotomy revealed an ischemic enlarged ovary and uterus rotated 180°. No reperfusion occurred after 60 minutes. A subtotal hysterectomy and right salpingoophorectomy were thus performed.<br />Conclusion: Uterine and adnexal torsion presents with symptoms similar to those of adnexal torsion. Delays in diagnosis and referral continue to be an issue, resulting in suboptimal outcomes. Uterine torsion, although exceedingly rare in childhood, appears to occur only in the setting of ovarian masses, which provide the impetus for the rotational force to the elongated cervix of the prepubertal uterus.<br /> (Copyright © 2021 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Abdominal Pain etiology
Child
Diagnosis, Differential
Female
Humans
Ovarian Cysts diagnostic imaging
Ovarian Cysts surgery
Ovarian Torsion diagnosis
Pregnancy
Torsion Abnormality diagnosis
Ultrasonography
Uterine Diseases diagnostic imaging
Hysterectomy methods
Torsion Abnormality surgery
Uterine Diseases surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1873-4332
- Volume :
- 34
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of pediatric and adolescent gynecology
- Publication Type :
- Report
- Accession number :
- 33010465
- Full Text :
- https://doi.org/10.1016/j.jpag.2020.09.003