Rethinking ovary preservation by adnexal torsion reversal in adolescents: a case of delayed diagnosis
Abstract Background This article discusses the management of an adolescent woman with a delayed diagnosis of adnexal torsion (AT) whose ovaries were successfully preserved. Case presentation The patient was a 14-year-old female teen admitted with the chief complaint of lower abdominal pain for 3 day...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-10-01
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| Series: | BMC Women's Health |
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| Online Access: | https://doi.org/10.1186/s12905-022-02013-4 |
| _version_ | 1829096449104674816 |
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| author | Yue He Chen Ji Xiao-Chang Shen Ke-Xin Zhang Yu-Mei Wu Yan Wang |
| author_facet | Yue He Chen Ji Xiao-Chang Shen Ke-Xin Zhang Yu-Mei Wu Yan Wang |
| author_sort | Yue He |
| collection | DOAJ |
| description | Abstract Background This article discusses the management of an adolescent woman with a delayed diagnosis of adnexal torsion (AT) whose ovaries were successfully preserved. Case presentation The patient was a 14-year-old female teen admitted with the chief complaint of lower abdominal pain for 3 days and worsening pain for 2 days. Magnetic resonance imaging suggested a high possibility of torsion in the anterosuperior uterine mass and was accompanied by severe ovarian edema, bleeding, and enlargement. Intraoperatively, the left fallopian tube was characterized by thickening and torsion and appeared blackish purple. The left fallopian tube paraovarian cyst was about 20 cm in size, and the left adnexa was twisted 1080° along the left infundibulopelvic ligament (suspensory ligament of the left ovary). The left ovary appeared blackish purple, with an enlarged diameter of about 10 cm. At the request and with the informed consent of the patient’s parents, we preserved the left ovary and removed the left fallopian tube. The results of the endocrine, ultrasound, and tumor marker tests were normal 1 month after surgery. Follicles and blood flow signals seen in ultrasound examinations indirectly proved the successful preservation of the left ovary in the follow-up. Conclusions Our attempt to preserve the ovaries in an adolescent with a delayed diagnosis of AT was successful. |
| first_indexed | 2024-04-11T08:57:28Z |
| format | Article |
| id | doaj.art-94584d23577b4b898ad069c1b6fac1b9 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-04-11T08:57:28Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-94584d23577b4b898ad069c1b6fac1b92022-12-22T04:33:09ZengBMCBMC Women's Health1472-68742022-10-012211610.1186/s12905-022-02013-4Rethinking ovary preservation by adnexal torsion reversal in adolescents: a case of delayed diagnosisYue He0Chen Ji1Xiao-Chang Shen2Ke-Xin Zhang3Yu-Mei Wu4Yan Wang5Department of Gynecological Oncology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University. Beijing Maternal and Child Health Care HospitalDepartment of Gynecological Oncology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University. Beijing Maternal and Child Health Care HospitalDepartment of Gynecological Oncology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University. Beijing Maternal and Child Health Care HospitalDepartment of Gynecological Oncology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University. Beijing Maternal and Child Health Care HospitalDepartment of Gynecological Oncology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University. Beijing Maternal and Child Health Care HospitalDepartment of Gynecological Oncology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University. Beijing Maternal and Child Health Care HospitalAbstract Background This article discusses the management of an adolescent woman with a delayed diagnosis of adnexal torsion (AT) whose ovaries were successfully preserved. Case presentation The patient was a 14-year-old female teen admitted with the chief complaint of lower abdominal pain for 3 days and worsening pain for 2 days. Magnetic resonance imaging suggested a high possibility of torsion in the anterosuperior uterine mass and was accompanied by severe ovarian edema, bleeding, and enlargement. Intraoperatively, the left fallopian tube was characterized by thickening and torsion and appeared blackish purple. The left fallopian tube paraovarian cyst was about 20 cm in size, and the left adnexa was twisted 1080° along the left infundibulopelvic ligament (suspensory ligament of the left ovary). The left ovary appeared blackish purple, with an enlarged diameter of about 10 cm. At the request and with the informed consent of the patient’s parents, we preserved the left ovary and removed the left fallopian tube. The results of the endocrine, ultrasound, and tumor marker tests were normal 1 month after surgery. Follicles and blood flow signals seen in ultrasound examinations indirectly proved the successful preservation of the left ovary in the follow-up. Conclusions Our attempt to preserve the ovaries in an adolescent with a delayed diagnosis of AT was successful.https://doi.org/10.1186/s12905-022-02013-4Ovary preservationDelayed diagnosisAdnexal torsionAdolescentCase report |
| spellingShingle | Yue He Chen Ji Xiao-Chang Shen Ke-Xin Zhang Yu-Mei Wu Yan Wang Rethinking ovary preservation by adnexal torsion reversal in adolescents: a case of delayed diagnosis BMC Women's Health Ovary preservation Delayed diagnosis Adnexal torsion Adolescent Case report |
| title | Rethinking ovary preservation by adnexal torsion reversal in adolescents: a case of delayed diagnosis |
| title_full | Rethinking ovary preservation by adnexal torsion reversal in adolescents: a case of delayed diagnosis |
| title_fullStr | Rethinking ovary preservation by adnexal torsion reversal in adolescents: a case of delayed diagnosis |
| title_full_unstemmed | Rethinking ovary preservation by adnexal torsion reversal in adolescents: a case of delayed diagnosis |
| title_short | Rethinking ovary preservation by adnexal torsion reversal in adolescents: a case of delayed diagnosis |
| title_sort | rethinking ovary preservation by adnexal torsion reversal in adolescents a case of delayed diagnosis |
| topic | Ovary preservation Delayed diagnosis Adnexal torsion Adolescent Case report |
| url | https://doi.org/10.1186/s12905-022-02013-4 |
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