Adnexal torsion in very young girls: diagnostic pitfalls

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Marieke EmontsJ Co'tje F Admiraal

Abstract

Evaluation of cases of young girls diagnosed with adnexal torsion. Retrospective cohort study of 39 girls born between January 1980 and January 2000 who presented with acute abdominal pain and/or the diagnosis adnexal torsion in the Groene Hart Hospital. Seven patients, aged 6-13 years, with adnexal torsion were further evaluated. In three patients, it was possible to save the adnexa. Only the time relapse between the onset of complaints and the surgical intervention correlated with the presence of microscopic necrosis in the ovary. Bluish-black appearance of an ovary did not correlate with the presence of microscopic necrosis. Early recognition and treatment are essential to minimise the risk of decreased fertility after adnexal torsion in young girls. We therefore advocate prompt diagnostic laparoscopy and detorsion of the adnexa. In case a cyst is present, it should not be resected, but checked on a regular basis using ultrasound.

References

Oct 1, 1991·Journal of Pediatric Surgery·J MordehaiI Meizner
Jun 1, 1990·Journal of Pediatric Surgery·A J Davis, N R Feins
Oct 1, 1989·Journal of Pediatric Surgery·N SpiglandS Yazbeck
Dec 1, 1994·American Journal of Obstetrics and Gynecology·A I Bayer, A K Wiskind
Dec 1, 1994·AJR. American Journal of Roentgenology·J E Stark, M J Siegel
Jun 1, 1993·American Journal of Obstetrics and Gynecology·S ZweizigD R Mishell
Apr 1, 1993·Postgraduate Medical Journal·B GrunewaldS Brown
Oct 1, 1995·Journal of Pediatric Surgery·J S MeyerR D Bellah
Oct 1, 1996·Obstetrics and Gynecology·M GermainE Robins
Feb 1, 1997·Pediatric Radiology·S Schmahmann, J O Haller
Mar 14, 1998·Seminars in Pediatric Surgery·J S Sanfilippo, T E Lobe
Aug 28, 1998·Journal of Clinical Ultrasound : JCU·H M RichardH C Yeh
May 5, 1999·The Journal of the American Association of Gynecologic Laparoscopists·F J HuangY J Lu

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Citations

Aug 26, 2006·Abdominal Imaging·F Van KerkhoveS Dymarkowski
Sep 18, 2009·Abdominal Imaging·Sanja Kupesic, Branko M Plavsic
Feb 3, 2009·Pediatric Surgery International·Jonathan Saul KarpelowskyKim Matthews
Apr 23, 2005·Seminars in Pediatric Surgery·Darrell L Cass
Jul 23, 2008·Pediatric Emergency Care·Yi-Jung ChangShao-Hsuan Hsia
Feb 22, 2011·Journal of Paediatrics and Child Health·Hongjue LeeJaesook Roh
Dec 31, 2011·Journal of Pediatric and Adolescent Gynecology·Brooke V RossiMarc R Laufer
Oct 16, 2013·Journal of Minimally Invasive Gynecology·Kirsten J Sasaki, Charles E Miller
Oct 1, 2013·Journal of Pediatric Surgery·Lina Geimanaite, Kestutis Trainavicius
Nov 21, 2012·Journal of Pediatric Surgery·Hannah G PiperAnne C Fischer
Jan 6, 2015·World Journal of Pediatrics : WJP·Abdul Ghani Nur AzurahBeng Kwang Ng
Jul 7, 2016·Journal of Pediatric and Adolescent Gynecology·Nicole HubnerLisa Mary Allen
Nov 30, 2016·Journal of Pediatric and Adolescent Gynecology·Mirko BertozziAntonino Appignani
Dec 19, 2016·The Journal of Emergency Medicine·Jennifer J RobertsonAlex Koyfman
Jan 30, 2018·Khirurgiia·M A ChundokovaYu E Fateev
Jul 3, 2020·Pediatrics in Review·Kathryn H Pade, Marie R Waterhouse
Feb 28, 2021·Archives of Gynecology and Obstetrics·Maria NovoaMaximiliano Mayrink

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