The Clinical Presentation and Surgical Management of Adnexal Torsion in the Pediatric and Adolescent Population

Clinico-Pathological Profile of Adnexal Torsion Cases: A Retrospective Analysis from A Tertiary Care Teaching Hospital

“…In the study by Brooke Rossi et al (sample size 83) there was 64% right Adnexal torsion and only 36% percent had left sided torsion. There was no bilateral adnexal torsion in their series [15]. In our series there was a 11% incidence of bilateral Adnexal torsion.…”

“…In a study by Ming Chen et al, [14] they found that in an analysis of 69 cases of adnexal torsion, all of them presented with abdominal pain during presentation. In a study by Brooke Rossi et al, [15] done on the Pediatric and adolescent population nearly 91% of the patients presented with acute abdominal pain.…”

Adnexal Masses in Children and Adolescents

“…[75][76][77][78][79] Patients typically present with acute onset of unilateral lower abdominal pain, more often on the right side with nausea and vomiting. 77 Unlike appendicitis, the vomiting occurs synchronously with the onset of pain. Tenderness is frequently observed, and a history of similar pain in the past is often reported.…”

Ovarian torsion—A course for severe abdominal pain in children

“…As a consequence, the ovary becomes engorged and edematous which leads to increasing parenchymal pressure and ultimately may lead to arterial occlusion and ovarian infarction [2]. The twisting may involve the ovary, the fallopian tube, or both but as the symptoms are clinically indistinguishable this can only be determinated perioperatively [4].…”

“…At that time, no surgical intervention or imaging was deemed necessary, as the pain subsided quickly and spontaneously and therefore there is no way of knowing for sure. It is however well described that many patients with ovarian torsion can recall episodes of similar pain in the past [4,5].…”