Adnexal torsion in children may have a catastrophic sequel: Asynchronous bilateral torsion

Özcan, Coşkun; Çelik, Ahmet; Özok, Geylani; Erdener, Ata; Balιk, Erol

doi:10.1053/jpsu.2002.36195

Cited by 87 publications

(54 citation statements)

References 25 publications

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“…In our study, three infants had bilateral OCs, but none developed bilateral torsion; nevertheless, such event has been reported (Corbett and Lamont, 2002). Although synchronous neonatal bilateral ovarian torsion has been rarely reported (Guileyardo, 1982;Corbett and Lamont, 2002), asynchronous bilateral ovarian torsion in older children and adults has been reported in several publications (Eckler et al, 2000;Ozcan et al, 2002;Aziz et al, 2004;Beaunoyer et al, 2004). The prevalence of women with a solitary ovary in the general female population or in the subfertile group has been scarcely investigated.…”

Section: Long-term Outcomecontrasting

confidence: 51%

Fetal and neonatal ovarian cysts: is surgery indicated?

et al. 2008

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Objectives To evaluate the frequency of ovarian torsion in neonates with ovarian cysts (OCs) and to analyze the outcome after surgical treatment.Methods A retrospective review of all infants with OCs managed in our institution during 20 years, was conducted. Our management included a follow-up (FU) of prenatal serial ultrasound (US) scan without prenatal cyst aspiration and early postnatal US scan. Neonatal surgery was indicated for cysts that appeared complex regardless of size and for simple cysts larger than 20 mm.Results Sixty-seven OCs detected through prenatal diagnosis were identified. Cysts were detected at a median gestational age (GA) of 33 weeks. At diagnosis, median size of the OCs was 40 mm, and 18% were complex. On the postnatal US scan, 55% were complex. Neonatal surgery was performed for 64 OCs : 56% were torsed, 6% were hemorrhagic, and 38% were uncomplicated. Proportions of complex-and simple-appearing cysts on prenatal or postnatal US scan were the only significantly different parameters found between infants with torsed or not torsed OC. ConclusionOur study demonstrated that OC bears a high risk of ovarian loss. These findings have implications regarding information and treatment offered to pregnant women bearing an affected fetus.

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Section: Long-term Outcomecontrasting

confidence: 51%

Fetal and neonatal ovarian cysts: is surgery indicated?

et al. 2008

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“…Ultrasound is the diagnostic modality of choice; however, the presence of vascular flow on Doppler imaging does not reliably exclude torsion. [4][5][6][7][8] More work is needed, as no large pediatric studies have characterized the pain in detail, nor have they presented the results of ancillary tests, such as urinalysis. This information may prove helpful for primary care physicians in differentiating ovarian torsion from more frequent competing diagnoses, such as appendicitis.…”

Section: Discussionmentioning

confidence: 99%

“…Women and girls older than 12 years are more likely than younger girls to have an etiology that includes functional ovarian cysts, congenitally long tubes or supporting ligaments, and increased premenarchal activity leading to venous congestion. 8 Oltmann and colleagues 11 described 97 patients with ovarian torsion and found that pathology was benign in 98% of cases. Findings mainly consisted of infarcted or edematous tissue, benign cysts and benign neoplasms.…”

Section: Discussionmentioning

confidence: 99%

Pediatric ovarian torsion: case series and review of the literature

Poonai

Lim

et al. 2013

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“…Surgical procedure FSH mIU/ml E2 Pg/ml AMH ng/ml uterus or to the lateral pelvic wall (2,(6)(7)(8)(9)(10) .If the patients have a single ovary (due to congenital absence, spontanous amputation or previous operation), in order to protect it, ovary should absolutely be fixed, in addition to detorsion (9,11,12) .…”

Section: Eventsmentioning

confidence: 99%