Torsion of uterine adnexa in neonates and children: A report of 20 cases

Mordehai, Jacob; Mares, Abraham J.; Barki, Y; Finaly, R.; Meizner, Israel

doi:10.1016/0022-3468(91)90333-o

Cited by 124 publications

(65 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[4][5][6][7]9,12,13 Finally, fever was seen in a minority of patients. 4,5,7,11,[13][14][15] However, in contrast to other pediatric reports, 4,5 a pelvic mass was not documented in any charts in our review.…”

Section: Discussioncontrasting

confidence: 95%

Pediatric ovarian torsion: case series and review of the literature

Poonai

Lim

et al. 2013

cjs

View full text Add to dashboard Cite

Section: Discussioncontrasting

confidence: 95%

Pediatric ovarian torsion: case series and review of the literature

Poonai

Lim

et al. 2013

cjs

View full text Add to dashboard Cite

“…Thus complex cysts may cause serious postnatal complications, but there does not appear to be a case for routine antenatal or postnatal intervention. Complex cysts can be managed conservatively, although many authors [9,[12][13][14][15]20] have advocated elective early postnatal resection to avoid potential complications. Our results suggest that the complications have already occurred and that there is no indication for routine early intervention, but there is for late intervention if these cysts fail to involute.…”

Section: Complex Fetal and Neonatal Cystsmentioning

confidence: 99%

Is Conservative Management of Prenatal and Neonatal Ovarian Cysts Justifiable?

Foley¹,

Ford²,

McEwing

et al. 2005

Fetal Diagn Ther

View full text Add to dashboard Cite

Objectives: To evaluate conservative management of fetal and neonatal ovarian cysts. Methods: We followed the progress of 11 fetal and 2 neonatal ovarian cysts. Results: Ten fetal cysts were simple at recognition, but 8 silently became complex by birth, with ovarian loss in 6/11 cases (54%). In 2 cases where large simple cysts presented for the first time at birth, serious complications occurred, resulting in the death of 1 newborn. Conclusions: If a fetal ovarian cyst is already complex before birth it can be managed conservatively, albeit with loss of the ipsilateral ovary in the majority of cases. As simple fetal ovarian cysts frequently become complex before birth, intervention may be justifiable to preserve the ovary. But any intervention also has the potential for complications, and may be ineffective. Intervention also requires accurate differentiation of ovarian cysts from other abdominal cysts.

show abstract

“…15 Other proposed mechanisms include abrupt changes in intra-abdominal pressure with vomiting and coughing, adnexal venous congestion due to perimenarchal hormone activity, and sudden acceleration/deceleration movements. 16 We propose a possible explanation for the occurrence of torsion in an otherwise-normal ovary in the postpartum period: The puerperal patient might be more prone to the development of adnexal torsion because of the rapid anatomic changes in the pelvis, accompanied by the involution of the uterus while the utero-ovarian ligament remains disproportionately stretched, thereby allowing the normal-sized ovary increased room to move and twist.…”

Section: Torsion Of a Normalmentioning

confidence: 98%

“…According to the previously reported literature, torsion of a normal ovary predominantly occurs in premenarchal female patients, in whom torsion involving previously normal adnexa may constitute up to 15% to 50% of adnexal torsion cases. [15][16][17] The etiology of torsion of the normal adnexa is also not well defined. In the pediatric population, several authors have made speculations on this rare condition.…”

Section: Torsion Of a Normalmentioning

confidence: 99%

“…In the pediatric population, several authors have made speculations on this rare condition. 15,16 The uterus is relatively small and the utero-ovarian ligaments are disproportionately long, which thus allows the ovary to twist easily. 15 Other proposed mechanisms include abrupt changes in intra-abdominal pressure with vomiting and coughing, adnexal venous congestion due to perimenarchal hormone activity, and sudden acceleration/deceleration movements.…”

Section: Torsion Of a Normalmentioning

confidence: 99%

See 1 more Smart Citation

Torsion of a Normal Ovary During the Early Postpartum Period

Tanaka

Koyama

Shiki

2015

CRSLS

View full text Add to dashboard Cite

Ovarian cyst torsion is a well-known cause of acute abdominal pain in female patients. However, torsion of a normal ovary is extremely rare and predominantly occurs in premenarchal female patients. The objective of this report is to describe a rare case of acute abdomen during the early postpartum period that was ultimately diagnosed as torsion of a normal ovary by laparoscopic surgery. A 29-year-old woman vaginally delivered a healthy 3530-g baby uneventfully at 40 weeks' gestation. On postpartum day 6, she presented with acute abdominal pain in the right lower quadrant and costovertebral angle tenderness. A complete workup including laboratory examination, ultrasonography, and computed tomography was performed. Leukocytosis with a left shift and a slightly enlarged right ovary were found. Finally, diagnostic laparoscopy showed torsion of a normal ovary. The patient underwent laparoscopic detorsion of the right adnexa and was discharged on postoperative day 4 without any complications.

show abstract

Torsion of uterine adnexa in neonates and children: A report of 20 cases

Cited by 124 publications

References 11 publications

Pediatric ovarian torsion: case series and review of the literature

Pediatric ovarian torsion: case series and review of the literature

Is Conservative Management of Prenatal and Neonatal Ovarian Cysts Justifiable?

Torsion of a Normal Ovary During the Early Postpartum Period

Contact Info

Product

Resources

About