Premenarchal Adolescent Female Ovarian Torsion: A Case of Delayed Diagnosis
- 16 August 2021
- journal article
- research article
- Published by International Scientific Information, Inc. in The American Journal of Case Reports
- Vol. 22, e932245
- https://doi.org/10.12659/AJCR.932245
Abstract
Objective: Mistake in diagnosis Background: Ovarian torsion is a rare surgical emergency in premenarchal girls. Early diagnosis and surgical detorsion are required to restore blood flow and limit tissue damage. Case Report: Here, we present a case of ovarian torsion and appendicitis in an 11-year-old premenarchal girl who presented to our emergency room with a 4-day history of right iliac fossa pain, limping, and fever. Upon initial evaluation in our hospital, her vital signs were stable and clinical examination revealed abdominal guarding and right lower quadrant rebound tenderness with positive Rovsing's sign. Abdominal ultrasound and computed tomography scans showed adnexal cysts and torsion, an inflamed appendix, and free fluid in the abdomen. Intraoperative findings included a twisted gangrenous ovary and an edematous appendix. The patient underwent emergency laparoscopic oophorectomy and appendectomy. Conclusions: This case demonstrates that reactive appendicitis can occur secondary to inflammation of adjacent structures such as the ovary.Keywords
This publication has 15 references indexed in Scilit:
- Re‐torsion of the ovariesActa Obstetricia et Gynecologica Scandinavica, 2014
- Pediatric ovarian torsion: an uncommon clinical entityClinical Case Reports, 2014
- Ovarian torsion: diagnosis of inclusion mandates earlier interventionJournal of Pediatric Surgery, 2012
- Ovarian Torsion in a Three-Year-Old GirlThe Journal of Emergency Medicine, 2010
- Cannot exclude torsion—a 15-year reviewJournal of Pediatric Surgery, 2009
- Torsion of Normal Adnexa in Postmenarchal Women and Risk of RecurrenceObstetrics & Gynecology, 2007
- Ovarian torsion associated with appendicitis in a 5-year-old girl: a case report and review of the literatureJournal of Pediatric Surgery, 2005
- Ovarian torsion: A fifteen-year reviewAnnals of Emergency Medicine, 2001
- Surgery for ovarian masses in infants, children, and adolescents: 102 consecutive patients treated in a 15-year periodJournal of Pediatric Surgery, 2001
- Acute ovarian torsion in childrenThe American Journal of Surgery, 2000