Adnexal and Ovarian Torsion in a Young Girl Managed by Minilaproscopy

Document Type : Case Reports

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Aswan central hospital

Abstract

A 6 -year-old girl attended to the emergency department of DOCTORS surgical center in Aswan city –Egypt with left -sided abdominal pain and vomiting. Due to history and following examination, an ultrasound was requested which demonstrated a large complex midline mass. The most likely diagnosis was ovarian torsion, for which the patient underwent diagnostic mini-laparoscopy, detorsion, ovarian cystectomy and fixation to anterior abdominal wall. Although less common than in the adult population, it is important to consider ovarian torsion in children and adolescents. Presentation is usually with pain accompanied by vomiting and fever, although these symptoms are not always present. Current management is organ-sparing, with laparoscopy± cystectomy. We discuss the adoption for this procedure with regard to the pediatric and adolescent population. Differences in the anatomy and physiology must lead to consideration for alterations in surgical technique and positioning to ensure the safest and best quality care for these young patients.

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