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Asynchronous bilateral ovarian torsion. A case report and mini review
Emel Kurtoglu1, Arif Kokcu1, Murat Danaci2
1Department of Obstetrics and Gynecology of Medicine, University of Ondokuz Mayis, Samsun, Turkey.
Journal of Pediatric and Adolescent Gynecology
|October 1, 2013
Summary
Adnexal torsion, a critical condition, can lead to ovary loss if surgical intervention is delayed. This case highlights the risk of asynchronous bilateral ovarian torsion in pediatric patients, emphasizing prompt diagnosis and conservative management.
Area of Science:
- Gynecology
- Pediatric Surgery
- Reproductive Medicine
Background:
- Adnexal torsion is a gynecological emergency with potential for ovarian loss.
- Delayed diagnosis and treatment increase the risk of irreversible ovarian damage.
- Pediatric and adolescent patients with adnexal torsion are susceptible to contralateral adnexal torsion.
Observation:
- A case of asynchronous bilateral ovarian torsion in a 9-year-old girl is presented.
- The patient underwent right and subsequently left salpingo-oophorectomy due to torsion.
- This case illustrates a rare occurrence of sequential torsion in both ovaries.
Findings:
- Ovarian torsion diagnosis is frequently delayed, impacting treatment outcomes.
- Laparoscopic intervention for suspected ovarian torsion should be immediate.
- Conservative management strategies are crucial to prevent ovarian loss.
Implications:
- Prompt diagnosis and surgical intervention are vital in pediatric adnexal torsion.
- Conservative management and oophoropexy can prevent recurrent torsion and preserve ovarian function.
- Preventing surgical castration through timely and appropriate management is paramount in young patients.
