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Profile of Girls With Adnexal Torsion: Single Center Experience
Patrycja Sosnowska-Sienkiewicz1, Przemyslaw Mankowski2
1Department of Pediatric Surgery, Traumatology and Urology, Poznan University of Medical Sciences, Poland. Correspondence to: Dr Patrycja Sosnowska-Sienkiewicz, Department of Pediatric Surgery, Traumatology and Urology, Poznan University of Medical Sciences, ul. Szpitalna 27/33, 60-572 Poznan, Poland. patrycja.sosnowska@outlook.com.
Objective:
To compare features of pre-menarchal and post-menarchal patients with adnexal torsion.
Methods:
We reviewed hospital records to note examination findings, laboratory work-up, imaging results, operative findings and course during hospital stay for 56 girls aged from 7 days to 17 years with adnexal torsion presenting between January, 2012 and December, 2020.
Results:
31 girls were pre-menarchal. Pain was the most common symptom. There were significant differences in the volume of the ovary visualized in ultrasound in amenorrheic and menstruating girls [median (IQR) 78234 (39600, 183600) mm3 vs 243432 (158661, 388800) mm3; P=0.004]. Pain was the most common symptom. Over the years, there was an increase in laparoscopic procedures, and efforts to preserve the ovary after the torsion.
Conclusions:
The differential diagnosis in the case of abdominal pain should include adnexal torsion both in non-menstruating and menstruating girls.
