Adnexal torsion in adolescents: prompt diagnosis and treatment may save the adnexa

The Use of Laparoscopy in the Management of Adnexal Pathologies in Children

“…Furthermore, laparoscopy is a very effective and safe technique for providing definitive therapy for various adnexal pathologies in the same setting. 20,22 Therapeutic procedure was successfully performed laparoscopically in 92.9% of patients in the present series, and all the patients recovered uneventfully with a good cosmetic result. Special caution was also required during specimen retrieval.…”

“… 13–17 In contrast, laparoscopy has the inherent advantage of allowing complete visualization of almost the entire abdominal cavity, particularly the pelvic region, and thus enables accurate diagnosis of various adnexal pathologies. 18–21 This avoids the extension or creation of another incision when surgical surprises occur, as in traditional open surgery. In the present series laparoscopy was able to make the correct diagnosis in all cases.…”

Laparoscopic management of a rare case of spontaneous adnexal torsion in an adolescent

“…The macroscopic appearance of the ovary was not a reliable indicator of the degree of necrosis and potential for ovarian recovery; therefore, it is worth the wait for change in color following detorsion. Within 15 min, the adnexal structures regained normal color and contour; a similar experience has also been reported by Ben-Arie et al .,[ 7 ] oophoropexy was not performed as the tissues were very friable and the reproductive outcomes of such a procedure were not known. Cass[ 4 ] strongly considered oophoropexy.…”

Secondary infertility due to retained fetal bones – a diagnostic dilemma

“…The gynecologic differential diagnosis of acute abdomen in a young girl after onset of menarche is particularly challenging. It includes hematocolpus, hematometra, pelvic inflammatory disease, pregnancy complications or torsion of adnexa or adnexal mass (4,14).…”