Ovarian Torsion: Presentation and Management in a Pediatric Patient.

Authors :: Nguyen KP
Valentino WL
Bui D
Milestone H
Source :: Case reports in obstetrics and gynecology [Case Rep Obstet Gynecol] 2022 Feb 22; Vol. 2022, pp. 9419963. Date of Electronic Publication: 2022 Feb 22 (Print Publication: 2022).
Publication Year :: 2022
Abstract: Background: Adnexal torsion is the fifth most common gynecologic emergency accounting for approximately 20 to 30% of ovarian surgeries in pediatric patients.<br />Case: The patient is a ten-year-old female who presented to the emergency room for severe left lower quadrant abdominal pain. On presentation, she was hemodynamically stable with an acute abdomen. A transabdominal ultrasound showed a predominantly anechoic structure measuring up to 5.6 cm without definitive Doppler flow, concerning for a large cyst causing ovarian torsion. Gynecology was consulted, and the patient underwent a diagnostic laparoscopy, aspiration of the left ovarian cyst, and left ovarian detorsion. Pathology results were consistent with benign cystic contents.<br />Conclusion: Appropriate diagnosis and timely surgical gynecological intervention allowed this pediatric patient to salvage and preserve ovarian function.<br />Competing Interests: The authors declare that there is no conflict of interest regarding the publication of this article.<br /> (Copyright © 2022 Katie P. Nguyen et al.)