| Summary: | AbstractBackground/Aims: Although rare, torsion and malignancy of the uterine adnexa, are a common concern of differential diagnosis while dealing with abdominal pain in girlsMethods:Forty-seven patients who were
operated for adnexal torsion or ovarian tumor between March 2004 and December
2010 are enrolled in the study. Results:Twenty one patients had torsion of the uterine adnexa, 18 had ovarian
tumors and 8 had an ovarian tumor with torsion. The rate of radical surgery was
47% in torsion which was elevated to 72% in tumor and 100% in tumors with
torsion. In ovarian torsion, the rate of radical surgery and adnexal sparing
were not different between early versus late presenting cases. Conclusions: Despite encouraging data in the literature favor ovarian sparing,
radical surgery still seems to remain high in girls with adnexal torsion and
tumors. Ovarian sparing seems possible in tumors but further studies are needed
to determine the best management strategy.
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