Uterine adnexal torsion with subsequent contralateral recurrence

Area of Science:

• Reproductive medicine
• Gynecologic surgery
• Pediatric gynecology

Background:

• Uterine adnexal torsion is a gynecologic emergency.
• It can lead to ovarian infarction and loss of reproductive potential.
• Recurrence, especially contralateral, is rare but devastating.

Observation:

• A case of a 12-year-old girl experiencing bilateral adnexal torsion is presented.
• The initial torsion resulted in infarction of one ovary.
• A contralateral recurrence occurred six weeks later, leading to sterility.

Findings:

• This represents the second reported case of sequential bilateral adnexal torsion in a pediatric patient.
• The case highlights the risk of contralateral recurrence following an initial torsion event.
• The patient was rendered sterile due to the bilateral events.

Implications:

• The findings underscore the importance of a high index of suspicion for adnexal torsion in pediatric patients.
• Early and accurate diagnosis is paramount to prevent ovarian damage and preserve fertility.
• The potential benefit of prophylactic oophoropexy in select cases warrants consideration to prevent recurrence.