Ovarian Torsion and Oophorectomy in Childhood: A Case Report.

IF 1.3 Q3 PEDIATRICS Current Pediatric Reviews Pub Date : 2024-01-01 DOI:10.2174/1573396319666230303140805
Fatemeh Shabani, Maryam Montazeri, Siamak Shiva, Mojgan Mirghafourvand
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Abstract

Background: Ovarian torsion in infants can be asymptomatic or may present with abdominal mass and malnutrition. It is an uncommon and non-specific condition in children. We report a girl who underwent detorsion and ovariopexy for suspected ovarian torsion after a previous oophorectomy. The role of progesterone therapy is determined in reducing the size of adnexal mass.

Case presentation: The patient was diagnosed with right ovarian torsion and underwent an oophorectomy at one year of age. About 18 months later, she was diagnosed with left ovarian torsion and underwent detorsion with lateral pelvic fixation. Despite the pelvic fixation of the ovary, a continuous increase in the volume of the ovarian tissue was evident during successive ultrasounds. Progesterone therapy was started at five years of age in order to prevent retorsion and preserve the ovarian tissue. In successive follow-ups during the therapy, ovarian volume decreased, and its size (27*18 mm) was restored.

Conclusion: The presented case reminds doctors of the possibility of ovarian torsion in young girls with pelvic pain. More research is needed on the use of hormonal drugs, such as progesterone, in similar cases.

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儿童时期的卵巢扭转和输卵管切除术:病例报告。
背景:婴儿卵巢扭转可能没有症状,也可能表现为腹部肿块和营养不良。这是一种不常见的非特异性儿童疾病。我们报告了一名曾接受过卵巢切除术的女孩,她因怀疑卵巢扭转而接受了卵巢剥离术和卵巢切除术。病例介绍:患者被诊断为右卵巢扭转:患者被诊断为右卵巢扭转,并在一岁时接受了输卵管切除术。约 18 个月后,她被诊断为左侧卵巢扭转,并接受了扭转术和盆腔侧固定术。尽管对卵巢进行了盆腔固定,但在连续几次超声波检查中都发现卵巢组织体积持续增大。为了防止复位和保护卵巢组织,她在五岁时开始接受黄体酮治疗。在治疗期间的连续随访中,卵巢体积缩小,大小(27*18 毫米)恢复:本病例提醒医生,盆腔疼痛的年轻女孩有可能发生卵巢扭转。对于在类似病例中使用黄体酮等激素类药物,还需要进行更多的研究。
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来源期刊
CiteScore
4.30
自引率
0.00%
发文量
66
期刊介绍: Current Pediatric Reviews publishes frontier reviews on all the latest advances in pediatric medicine. The journal’s aim is to publish the highest quality review articles dedicated to clinical research in the field. The journal is essential reading for all researchers and clinicians in pediatric medicine.
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