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Ovarian Torsion: Presentation and Management in a Pediatric Patient
Katie P Nguyen1, William L Valentino2, Duy Bui2
1Department of Family Medicine, Riverside Community Hospital, Graduate Medical Education, HCA Healthcare, 4445 Magnolia Ave, Riverside, CA 92501, USA.
Background:
Adnexal torsion is the fifth most common gynecologic emergency accounting for approximately 20 to 30% of ovarian surgeries in pediatric patients.
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.
Conclusion:
Appropriate diagnosis and timely surgical gynecological intervention allowed this pediatric patient to salvage and preserve ovarian function.
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