Ovarian Torsion: Presentation and Management in a Pediatric Patient

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,...

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Main Authors: Katie P. Nguyen, William L. Valentino, Duy Bui, Honey Milestone
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2022/9419963
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author Katie P. Nguyen
William L. Valentino
Duy Bui
Honey Milestone
author_facet Katie P. Nguyen
William L. Valentino
Duy Bui
Honey Milestone
author_sort Katie P. Nguyen
collection DOAJ
description 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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spelling doaj-art-ffddfb28283346a08ceb8e95910ccbba2025-08-20T02:22:50ZengWileyCase Reports in Obstetrics and Gynecology2090-66922022-01-01202210.1155/2022/9419963Ovarian Torsion: Presentation and Management in a Pediatric PatientKatie P. Nguyen0William L. Valentino1Duy Bui2Honey Milestone3Department of Family MedicineDepartment of RadiologyDepartment of RadiologyDepartment of Obstetrics & GynecologyBackground. 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.http://dx.doi.org/10.1155/2022/9419963
spellingShingle Katie P. Nguyen
William L. Valentino
Duy Bui
Honey Milestone
Ovarian Torsion: Presentation and Management in a Pediatric Patient
Case Reports in Obstetrics and Gynecology
title Ovarian Torsion: Presentation and Management in a Pediatric Patient
title_full Ovarian Torsion: Presentation and Management in a Pediatric Patient
title_fullStr Ovarian Torsion: Presentation and Management in a Pediatric Patient
title_full_unstemmed Ovarian Torsion: Presentation and Management in a Pediatric Patient
title_short Ovarian Torsion: Presentation and Management in a Pediatric Patient
title_sort ovarian torsion presentation and management in a pediatric patient
url http://dx.doi.org/10.1155/2022/9419963
work_keys_str_mv AT katiepnguyen ovariantorsionpresentationandmanagementinapediatricpatient
AT williamlvalentino ovariantorsionpresentationandmanagementinapediatricpatient
AT duybui ovariantorsionpresentationandmanagementinapediatricpatient
AT honeymilestone ovariantorsionpresentationandmanagementinapediatricpatient