Long-term results of conservative management of adnexal torsion in children

Çelik, Ahmet; Ergün, Orkan; Aldemir, Hakan; Özcan, Coşkun; Özok, Geylani; Erdener, Ata; Balýk, Erol

doi:10.1016/j.jpedsurg.2005.01.008

Cited by 169 publications

(93 citation statements)

References 30 publications

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“…The cysts may be unilateral or bilateral, but torsions are mostly unilateral. 3,4 Predisposing causes of torsion are large cyst, ovulation induction, and pregnancy. 4 Clinical parameters are less specific for diagnosis of ovarian torsion.…”

Section: Discussionmentioning

confidence: 99%

“…The ovaries may be preserved in adolescents and the women of reproductive age group desirous of having children. 3 Detorsion alone or with cystectomy may preserve ovarian function and fertility. In cases of enlarged ovaries, torsion can be recurrent and, in these cases, oophoropexy 3 (fixation of ovary to pelvic wall) is an option.…”

Section: Discussionmentioning

confidence: 99%

“…3 Detorsion alone or with cystectomy may preserve ovarian function and fertility. In cases of enlarged ovaries, torsion can be recurrent and, in these cases, oophoropexy 3 (fixation of ovary to pelvic wall) is an option. The laparoscopic plication of utero-ovarian ligament is another option available to the gynecologists to prevent recurrent torsion.…”

Section: Discussionmentioning

confidence: 99%

“…Torsion of ovarian tumors occurs predominantly in the reproductive age group. 3,4 Fallopian tube may also be involved (adnexal torsion). The predisposing factors are moderate-to-large cyst size, free mobility, and long CaSe RepoRt 1 Resident, 2 Lecturer, 3 Professor and Head …”

Section: Introductionmentioning

confidence: 99%

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Torsion of Ovarian Cyst presenting as Acute Abdomen: Report of Two Cases

Singh¹,

Kamble²

2017

MGM Journal of Medical Sciences

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Introduction: Two cases of ovarian cyst torsion are presented. The first case was a young girl, 17 years of age, who presented with acute abdomen. Ultrasonography (USG), computed tomography (CT) scan, and Doppler revealed bilateral ovarian cysts. The right-sided cyst had undergone torsion. Exploratory laparotomy confirmed the presence of twisted ovarian cyst on right side and a small dermoid cyst on left side. Right side salpingo-oophorectomy and left side cystectomy were done. The patient made an uneventful recovery.The second case was a 27-year-old lady, primigravida with 8-week pregnancy, who came with severe pain in right lower quadrant of abdomen of 3 days duration. Ultrasonography was suggestive of live intrauterine pregnancy of 8.4 weeks gestation and two cysts in the right ovary. The Doppler scan for the cyst was suggestive of ovarian torsion. Laparotomy confirmed the diagnosis of ovarian torsion. Right-sided salpingo-oophorectomy was carried out. The patient made an uneventful recovery and she is continuing with pregnancy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Torsion of Ovarian Cyst presenting as Acute Abdomen: Report of Two Cases

Singh¹,

Kamble²

2017

MGM Journal of Medical Sciences

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“…7 However, many studies have reported the excellent recovery of ovarian function after conservative approach regardless of the necrotic appearance of the twisted ischemic ovary. [1][2][3][4][5][6][8][9][10][11][12] Adnexectomy should be avoided as recovery of normal ovarian size and function, as shown by follicular development is 88% to 100%. 8 Even gangrenous-appearing adnexa should not be removed because it is impossible to predict the chances of the ovary reviving after detorsion.…”

Section: Discussionmentioning

confidence: 99%

Detorsion of Twisted (Gangrenous) Ovarian Cyst Followed by Complete Disappearance of the Cyst-A Case Report of Innovative Outcome

Sheikh¹,

Ramli²,

Haque³

2015

J YOUNG PHARM

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Adnexal torsion in the pediatric and adolescent population is a rare gynecological disease with an incidence of 2.7%. They are categorized by different clinical presentations and by the need to establish a suitable type and timing of treatment in order to prevent problems, such as ovarian necrosis after torsion and infertility. Ovarian torsion denotes a real surgical emergency. Quick diagnosis is crucial for ovarian salvage, and high clinical notion is imperative in this respect. Confounding the diagnosis in overall are more usually come across abdominal complaints in the Emergency Department (ED) such as constipation, diarrhea, and urinary tract infections and more common surgical emergencies such as appendicitis. Until a decade ago,the standard recommended treatment for ovarian torsion was removal of the gangrenous ovary without detorsion. However, conservative management for preservation of ovarian function should be undertaken because most females with adnexal torsion are adolescent girls and of childbearing age. A 10-year-old obese girl presented with a 3-days history of right iliac fossa pain. She was operated for acute appendicitis; however, intraoperatively found gangrenous twisted right ovarian cyst measuring 10x6 cm. Detorsion was done and noted the right fallopian tube appeared to be viable within few minutes however the right ovarian cyst remained the same. The postoperative period was uneventful. The same gangrenous ovary was monitored through repeated ultrasound examinations during follow-up visits and found that cyst was gradually decreasing in size and finally disappeared within 3 months. Detorsion of twisted ovarian cyst (conservative management) leads to complete disappearance and ovary not only be saved but also operative morbidity of interval cystectomy was avoided.

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Ovarian Cancer in the Pediatric Population

Fischer

2013

Advances in Diagnosis and Management of Ovarian Cancer

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Long-term results of conservative management of adnexal torsion in children

Cited by 169 publications

References 30 publications

Torsion of Ovarian Cyst presenting as Acute Abdomen: Report of Two Cases

Torsion of Ovarian Cyst presenting as Acute Abdomen: Report of Two Cases

Detorsion of Twisted (Gangrenous) Ovarian Cyst Followed by Complete Disappearance of the Cyst-A Case Report of Innovative Outcome

Ovarian Cancer in the Pediatric Population

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