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Asynchronous ovarian torsion--the case for prophylactic oophoropexy
B Grunewald1, J Keating, S Brown
1Department of Paediatric Surgery, Waikato Hospital, Hamilton, New Zealand.
Postgraduate Medical Journal
|April 1, 1993
Summary
An 11-year-old girl experienced left ovarian torsion after right ovary removal. Prompt surgery saved the left ovary, highlighting the importance of prophylactic oophoropexy in preventing recurrent ovarian torsion.
Area of Science:
- Gynecology
- Pediatric Surgery
- Reproductive Medicine
Background:
- Recurrent ovarian torsion can occur, especially after a previous torsion event and oophorectomy.
- Ovarian torsion is a gynecological emergency requiring prompt diagnosis and management.
Observation:
- An 11-year-old female presented with acute left ovarian torsion.
- This occurred 8 months after undergoing a right oophorectomy for a similar torsion event.
Findings:
- The left ovary was successfully preserved through immediate surgical intervention.
- The case underscores the potential for contralateral ovarian torsion following unilateral oophorectomy.
Implications:
- Prophylactic oophoropexy may be considered in cases of unilateral ovarian torsion to prevent recurrence.
- Preserving ovarian function in young patients is crucial for long-term reproductive health.
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