Asynchronous Bilateral Ovarian Torsion: Three Cases, Three Lessons

Background. Ovarian torsion (OT) is a serious condition, and delay in surgical intervention may result in loss of the ovary. Children and adolescents who have suffered from ovarian torsion may be at risk for asynchronous torsion of the contralateral ovary. Study objective. Three cases of asynchronou...

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Main Authors: M. C. Lucchetti, C. Orazi, A. Lais, M. L. Capitanucci, P. Caione, H. Bakhsh
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2017/6145467
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author M. C. Lucchetti
C. Orazi
A. Lais
M. L. Capitanucci
P. Caione
H. Bakhsh
author_facet M. C. Lucchetti
C. Orazi
A. Lais
M. L. Capitanucci
P. Caione
H. Bakhsh
author_sort M. C. Lucchetti
collection DOAJ
description Background. Ovarian torsion (OT) is a serious condition, and delay in surgical intervention may result in loss of the ovary. Children and adolescents who have suffered from ovarian torsion may be at risk for asynchronous torsion of the contralateral ovary. Study objective. Three cases of asynchronous bilateral ovarian torsion were reported to analyse clinical history of three patients, to review the current literature, and to draw a conclusion for future treatment. Design. Case reports and review of the literature. Result. When a prepubertal girl presents with an ovarian torsion, several considerations have to be taken in account in order to preserve her future fertility; in particular, the pediatric surgeon/gynecologist has to preserve as much as possible the twisted ovary in addition to considering the fate of the contralateral ovary. Summary and Conclusions. Pelvic pain in a young girl has always raised the clinical suspect of an ovarian torsion; the possibility of asynchronous bilateral ovarian torsion is rare, but it is described in the literature and has catastrophic consequences; this condition has to be known and treated in the proper way by pediatric surgeons as well as by gynecologists in order to maximize the future fertility of the young patients.
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spelling doaj-art-c468dca8c3af453780e63853590137542025-02-03T05:45:15ZengWileyCase Reports in Pediatrics2090-68032090-68112017-01-01201710.1155/2017/61454676145467Asynchronous Bilateral Ovarian Torsion: Three Cases, Three LessonsM. C. Lucchetti0C. Orazi1A. Lais2M. L. Capitanucci3P. Caione4H. Bakhsh5Nephro-Urology Department, Bambino Gesù Children’s Hospital, Rome, ItalyImaging Department, Bambino Gesù Children’s Hospital, Rome, ItalyNephro-Urology Department, Bambino Gesù Children’s Hospital, Rome, ItalyNephro-Urology Department, Bambino Gesù Children’s Hospital, Rome, ItalyNephro-Urology Department, Bambino Gesù Children’s Hospital, Rome, ItalyCollege of Medicine, Clinical Science Department, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi ArabiaBackground. Ovarian torsion (OT) is a serious condition, and delay in surgical intervention may result in loss of the ovary. Children and adolescents who have suffered from ovarian torsion may be at risk for asynchronous torsion of the contralateral ovary. Study objective. Three cases of asynchronous bilateral ovarian torsion were reported to analyse clinical history of three patients, to review the current literature, and to draw a conclusion for future treatment. Design. Case reports and review of the literature. Result. When a prepubertal girl presents with an ovarian torsion, several considerations have to be taken in account in order to preserve her future fertility; in particular, the pediatric surgeon/gynecologist has to preserve as much as possible the twisted ovary in addition to considering the fate of the contralateral ovary. Summary and Conclusions. Pelvic pain in a young girl has always raised the clinical suspect of an ovarian torsion; the possibility of asynchronous bilateral ovarian torsion is rare, but it is described in the literature and has catastrophic consequences; this condition has to be known and treated in the proper way by pediatric surgeons as well as by gynecologists in order to maximize the future fertility of the young patients.http://dx.doi.org/10.1155/2017/6145467
spellingShingle M. C. Lucchetti
C. Orazi
A. Lais
M. L. Capitanucci
P. Caione
H. Bakhsh
Asynchronous Bilateral Ovarian Torsion: Three Cases, Three Lessons
Case Reports in Pediatrics
title Asynchronous Bilateral Ovarian Torsion: Three Cases, Three Lessons
title_full Asynchronous Bilateral Ovarian Torsion: Three Cases, Three Lessons
title_fullStr Asynchronous Bilateral Ovarian Torsion: Three Cases, Three Lessons
title_full_unstemmed Asynchronous Bilateral Ovarian Torsion: Three Cases, Three Lessons
title_short Asynchronous Bilateral Ovarian Torsion: Three Cases, Three Lessons
title_sort asynchronous bilateral ovarian torsion three cases three lessons
url http://dx.doi.org/10.1155/2017/6145467
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AT mlcapitanucci asynchronousbilateralovariantorsionthreecasesthreelessons
AT pcaione asynchronousbilateralovariantorsionthreecasesthreelessons
AT hbakhsh asynchronousbilateralovariantorsionthreecasesthreelessons