2000, Number 1
<< Back Next >>
Cir Cir 2000; 68 (1)
Clinical spectrum of ovarian torsion in girls
Gómez-Alcalá AV, Ramírez-Hernández C
Language: Spanish
References: 31
Page: 19-22
PDF size: 227.70 Kb.
ABSTRACT
Tubo-ovaric torsion in the absence of adnexal disease is a more than generally appreciated occurring event, for which emergency treatment is advocated if the development of necrosis of the involved elements is to be prevented.
We report here on three representative cases: in one, an acute, intense lower abdominal pain called for a laparotomy during which a tubo-ovaric torsion was detected and untwisted. The other two patients complained of intermittent, brief and unspecific abdominal pain and diagnoses were made only because of the appearance of ovarian disorganization or calcification on X-rays films requested as a part of the diagnostic approach for urinary tract symptoms.
It is concluded that a complete evaluation of all events of acute lower abdominal pain in girls is important specially for those from 8 to 13 of age and with pain, on the left side.
REFERENCES
Bader T, Ranner G, Haberlik A. Torsion of a normal adnexa in a premenarcheal girl: MRI findings. Eur Radiol 1996; 6: 704-6.
Silva PD, Glasser KE, Virata RL. Spontaneously acquired, unilateral abscence of the adnexa. A case report. J Reprod Med 1995; 40: 63-4.
Bayer AL, Wiskind AK. Adnexal torsion: can the adnexa be saved? Am J Obstet Gynecol 1994; 171: 1506-10.
Eustace DL. Congenital abscence of fallopian tube and ovary. Eur J Obstet Gynecol Reprod Biol 1992; 46: 157-9.
Borup K, Rasmussen KL. Isolated torsion of the fallopian tube as a differential diagnosis to acute abdominal pain in a thirteen years old girl. Zentralbl Gynakol 1991; 113: 1397-8.
Maynard SR, Peipert JF, Brody JM. Tubal torsion appearing as acute pelvic inflammatory disease. J Am Assoc Gynecol Laparosc 1996; 3: 431-3.
Oelsner G, Bider D, Goldenberg M et al. Long term follow-up of the twisted ischemic adnexa managed by detorsion. Fertil Steril 1993; 60: 976-9.
Shalev E, Peleg D. Laparoscopic treatment of adnexal torsion. Surg Gynecol Obstet 1993; 176: 448-50.
Willms AB, Schlund JF, Meyer WR. Endovaginal Doppler ultrasound in ovarian torsion: a case series. Ultrasound Obstet Gynecol 1995; 5: 129-32.
Cakmak M, Aras T, Ercan M et al. Blood flow determination in contralateral ovary with 133 Xe in unilateral ovarian torsion (experimental study in rabbits). Tokai J Exp Clin Med 1994; 19: 61-5.
Cakmak M, Kaya M, Barlas M et al. Histologic and ultrastructural changes in the contralateral ovary in unilateral ovarian torsion: an experimental study in rabbits. Tokai J Exp Clin Med 1993; 18:167-78.
Zweizig S, Perron J, Grubb D et al. Conservative management of adnexal torsion. Am J Obstet Gynecol 1993; 168: 1791-5.
Pryor Ra, Wiczyk HP, O’Shea DL. Adnexal infarction after conservative surgical management of torsion of a hyperstimulated ovary. Fertil Steril 1995; 63: 1344-6.
Levy T, Dicker D, Shalev J et al. Laparoscopic unwinding of hyperstimulated ischaemic ovaries during the second trimester of pregnancy. Hum Reprod 1995; 10: 1478-80.
Quillin SP, Siegel MJ. Transabdominal color Doppler ultrasonography of the painful adolescent ovary. J Ultrasound Med 1994; 13: 549-55.
Heloury Y, Guiberteau V, Sagot P et al. Laparoscopy in adnexal pathology in the child: a study of 28 cases. Eur J Pediatr Surg 1993; 3: 75-8.
Bader T, Ranner G, Haberlik A. Torsion of a normal adnexa in a premenarcheal girl: MRI findings. Eur Radiol 1996; 6: 704-6.
Germain M, Rarick T, Robins E. Management of intermittent ovarian torsion by laparoscopic oophoropexy. Obstet Gynecol 1996; 88: 715-7.
Grunewald B, Keating J, Brown S. Asynchronous ovarian torsion the case for prophylactic oophoropexy. Postgrad Med J 1993; 69: 318-9.
Cakmak M, Mergen K, Dindar H et al. Influence of unilateral ovarian torsion to the contralateral ovary. Tokai J Exp Clin Med 1992; 17: 105-8.
Baumgartel PB, Fleisher AC, Cullinan JA et al. Color Doppler sonography of tubal torsion. Ultrasound Obstet Gynecol 1996; 7: 367-70.
Tepper R, Lerner-Geva L, Zalel Y et al. Adnexal torsion: the contribution of color Doppler sonography to diagnosis and post-operative follow-up. Eur J Obstet Gynecol Reprod Biol 1995; 62: 121-3.
Gordon JD, Hopkins KL, Jeffrey RB, Giudice LC. Adnexal torsion: color Doppler diagnosis and laparoscopic treatment. Fertil Steril 1994; 61: 383-5.
Schiller VL, Grant EG. Doppler ultrasonography of the pelvis. Radiol Clin North Am 1992; 30: 735-42.
Van-Voorhis BJ, Schwaiger J, Syrop CH et al. Early diagnosis of ovarian torsion by color Doppler ultrasonography. Fertil Steril 1992; 58: 215-7.
Fleischer AC, Stein SM, Cullinan JA et al. Color Doppler sonography of adnexal torsion. J Ultrasound Med 1995; 14: 523-8.
Kimura I, Togashi K, Kawakami S et al. Ovarion torsion: CT and MR imaging appearances. Radiology 1994; 190: 337-41.
Ghossain MA, Buy JN, Bazot M et al. CT in adnexal torsion with emphasis on tubal findings: correlation with US. J Comput Assist Tomogr 1994; 18: 619-25.
McHutchinson LL, Koonings PP, Ballard CA et al. Preservation of ovarian tissue in adnexal torsion fluorescein. Am J Obstet Gynecol 1993; 168: 136-8.
Shalev E, Bustan M, Yarom I et al. Recovery of ovarian function after laparoscopic detorsion. Hum Reprod 1995; 10: 2965-6.
Righi RV, McComb PF, Fluker MR. Laparoscopic oophoropexy for recurrent adnexal torsion. Hum Reprod 1995; 10: 3136-8.