A Retrospective Analysis of Ovarian Torsion in Adolescence
RIZWANA, IFFAT . 2015
ABSTRACT
Aim: To compare the management of adnexal torsion in pre- and post- menarcheal adolescent girls in a tertiary care hospital with managements suggested in the literature.
Methods: A retrospective 10 year chart [cases] review was carried out from January 2002to December 2011, at King Khalid University Hospital (KKUH)
Results: A total of71patients wereadmitted with post-operative diagnosis of ovarian cyst. Of them, 10 patients (mean age 14.1; range 8-19 years) underwent oophorectomy for adnexal torsion. The commonest clinical presentation was lower abdominal pain [n=9] and 7 were clinical diagnosedas acute appendicitis. Mean time for diagnosis was 2.6 days whereas; the mean time between diagnosis to surgery was 22.9 hours. Two patients had normal appearing adnexa while two had benign neoplasm.
Conclusion: All reported cases in this report were managed with removal of the adnexa and more than half via laparotomy whereas literature supports conservative laparoscopic management of adnexal torsion with a view of conserving the ovary.
Keywords: adnexal torsion, premenarcheal, postmenarcheal, ovarian cyst, oophorectomy, abdominal pain, appearing adnexa, benign neoplasm, laparotomy
ABSTRACT
Aim: To compare the management of adnexal torsion in pre- and post- menarcheal adolescent girls in a tertiary care hospital with managements…