Volume 9, Issue 1 (2024)
SJMR 2024, 9(1): 43-47 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Arab F, Nateghi M R. Ovarian Torsion and Cyst in a 12-Year-Old Girl with Abdominal Pain, Nausea, and Vomiting, Referred to the Emergency Department of Sarem Hospital: A Case Report. SJMR 2024; 9 (1) : 7
URL: http://saremjrm.com/article-1-329-en.html
URL: http://saremjrm.com/article-1-329-en.html
1- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Science (IUMS), Tehran, Iran. & Sarem Cell Research Center (SCRC), Sarem Women’s Hospital, Tehran, Iran.
Abstract: (1007 Views)
Introduction: Ovarian torsion is one of the uncommon emergency cases in women that require immediate diagnosis and treatment. This complication may present with non-specific signs and symptoms and should be considered in any woman with acute abdominal pain. Therefore, timely examination and management can lead to either loss of the ovary or the preservation of this organ. A result that is very important in women of reproductive age. The purpose of this study was to observe the ovarian torsion and cyst of a 12-year-old girl with abdominal pain, nausea and vomiting, referred to the emergency department of Sarem Women's Hospital in 2023.
Case Introduction: The patient is a 12-year-old girl who went to the emergency department of Sarem Women's Hospital in Tehran with symptoms of abdominal pain, nausea and vomiting. After sonography and observation of ovarian torsion and a 10 cm cyst, she was taken to the operating room with the diagnosis of torsion. After successful surgery, the patient was discharged with stable vital signs.
Conclusion: Finding the cause of a disease in a child with abdominal pain with nausea and vomiting is challenging, especially because of the findings related to the examination, the difficulty in performing radiological tests and the poor specificity of the results of this age compared to adults. Despite having both torsion and ovarian cyst together, the patient was saved by successful surgery.
Case Introduction: The patient is a 12-year-old girl who went to the emergency department of Sarem Women's Hospital in Tehran with symptoms of abdominal pain, nausea and vomiting. After sonography and observation of ovarian torsion and a 10 cm cyst, she was taken to the operating room with the diagnosis of torsion. After successful surgery, the patient was discharged with stable vital signs.
Conclusion: Finding the cause of a disease in a child with abdominal pain with nausea and vomiting is challenging, especially because of the findings related to the examination, the difficulty in performing radiological tests and the poor specificity of the results of this age compared to adults. Despite having both torsion and ovarian cyst together, the patient was saved by successful surgery.
Article number: 7
Article Type: Case Report |
Subject:
Women Diseases
Received: 2024/05/9 | Accepted: 2024/06/4 | Published: 2024/12/8
Received: 2024/05/9 | Accepted: 2024/06/4 | Published: 2024/12/8
References
1. McWilliams, G.D., M.J. Hill, and C.S. Dietrich III, Gynecologic emergencies. Surgical Clinics of North America, 2008. 88(2): p. 265-283. [DOI:10.1016/j.suc.2007.12.007] [PMID]
2. Muolokwu, E., et al., The incidence and surgical management of paratubal cysts in a pediatric and adolescent population. Journal of pediatric surgery, 2011. 46(11): p. 2161-2163. [DOI:10.1016/j.jpedsurg.2011.04.054] [PMID]
3. Huchon, C. and A. Fauconnier, Adnexal torsion: a literature review. European Journal of Obstetrics & Gynecology and Reproductive Biology, 2010. 150(1): p. 8-12. [DOI:10.1016/j.ejogrb.2010.02.006] [PMID]
4. Kolovos, G., et al., Isolated torsion of the fallopian tube in a 16-year-old girl: a case report and review of the literature. Case reports in women's health, 2019. 23: p. e00132. [DOI:10.1016/j.crwh.2019.e00132] [PMID] []
5. van der Zanden, M., A. Nap, and M. van Kints, Isolated torsion of the fallopian tube: a case report and review of the literature. European journal of pediatrics, 2011. 170(10): p. 1329-1332. [DOI:10.1007/s00431-011-1484-8] [PMID]
6. Schrager, J., G. Robles, and T. Platz, Isolated fallopian tube torsion: a rare entity in a premenarcheal female. The American Surgeon, 2012. 78(2): p. E118. [DOI:10.1177/000313481207800228] [PMID]
7. Said, M. and V. Bamigboye, Twisted paraovarian cyst in a young girl. Journal of obstetrics and gynaecology, 2008. 28(5): p. 549-550. [DOI:10.1080/01443610802247444] [PMID]
8. Robertson, J.J., B. Long, and A. Koyfman, Myths in the evaluation and management of ovarian torsion. The Journal of emergency medicine, 2017. 52(4): p. 449-456. [DOI:10.1016/j.jemermed.2016.11.012] [PMID]
9. Guile, S.L. and J.K. Mathai, Ovarian torsion. 2020.
10. Asfour, V., R. Varma, and P. Menon, Clinical risk factors for ovarian torsion. Journal of obstetrics and gynaecology, 2015. 35(7): p. 721-725.
11. Huang, C., M.-K. Hong, and D.-C. Ding, A review of ovary torsion. Tzu Chi Medical Journal, 2017. 29(3): p. 143-147. [DOI:10.4103/tcmj.tcmj_55_17] [PMID] []
12. Yen, C.-F., et al., Risk analysis of torsion and malignancy for adnexal masses during pregnancy. Fertility and sterility, 2009. 91(5): p. 1895-1902. [DOI:10.1016/j.fertnstert.2008.02.014] [PMID]
13. Karaman, E., et al., Ovarian torsion in the normal ovary: a diagnostic challenge in postmenarchal adolescent girls in the emergency department. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 2017. 23: p. 1312. [DOI:10.12659/MSM.902099] [PMID] []
14. Gasser, C.R.-B., et al., Is it ovarian torsion? A systematic literature review and evaluation of prediction signs. Pediatric emergency care, 2016. 32(4): p. 256-261. [DOI:10.1097/PEC.0000000000000621] [PMID]
15. Houry, D. and J.T. Abbott, Ovarian torsion: a fifteen-year review. Annals of emergency medicine, 2001. 38(2): p. 156-159. [DOI:10.1067/mem.2001.114303] [PMID]
16. White, M. and J. Stella, Ovarian torsion: 10‐year perspective. Emergency Medicine Australasia, 2005. 17(3): p. 231-237. [DOI:10.1111/j.1742-6723.2005.00728.x] [PMID]
17. Tsafrir, Z., et al., Risk factors, symptoms, and treatment of ovarian torsion in children: the twelve-year experience of one center. Journal of minimally invasive gynecology, 2012. 19(1): p. 29-33. [DOI:10.1016/j.jmig.2011.08.722] [PMID]
18. Huchon, C., et al., Does this woman have adnexal torsion? Human reproduction, 2012. 27(8): p. 2359-2364. [DOI:10.1093/humrep/des186] [PMID]
19. Kirkham, Y.A., et al., Characteristics and management of adnexal masses in a Canadian pediatric and adolescent population. Journal of Obstetrics and Gynaecology Canada, 2011. 33(9): p. 935-943. [DOI:10.1016/S1701-2163(16)35019-8] [PMID]
20. Sasso, R.A., Intermittent partial adnexal torsion after electrosurgical tubal ligation. The Journal of the American Association of Gynecologic Laparoscopists, 1996. 3(3): p. 427-430. [DOI:10.1016/S1074-3804(96)80076-4] [PMID]
21. Ashwal, E., et al., Characteristics and management of ovarian torsion in premenarchal compared with postmenarchal patients. Obstetrics & Gynecology, 2015. 126(3): p. 514-520. [DOI:10.1097/AOG.0000000000000995] [PMID]
22. Huang, C., M.K. Hong, and D.C. Ding, A review of ovary torsion. Ci Ji Yi Xue Za Zhi, 2017. 29(3): p. 143-147. [DOI:10.4103/tcmj.tcmj_55_17] [PMID] []
23. Coleman, B., Transvaginal sonography of adnexal masses. Radiologic Clinics of North America, 1992. 30(4): p. 677-691.
24. Albayram, F. and U.M. Hamper, Ovarian and adnexal torsion: spectrum of sonographic findings with pathologic correlation. Journal of ultrasound in medicine, 2001. 20(10): p. 1083-1089. [DOI:10.7863/jum.2001.20.10.1083] [PMID]
25. Martin, C. and K. Magee, Ovarian torsion in a 20-year-old patient. Canadian Journal of Emergency Medicine, 2006. 8(2): p. 126-129. [DOI:10.1017/S1481803500013622] [PMID]
26. De Silva, M.H.A.D., P. Kolombage, and S. Kasthuri, An ovarian torsion in a 2-year-old girl: a case report. Journal of Medical Case Reports, 2020. 14: p. 1-5. [DOI:10.1186/s13256-020-02518-2] [PMID] []
27. Morton, M.J., M. Masterson, and B. Hoffmann, Case report: Ovarian torsion in pregnancy-Diagnosis and management. The Journal of Emergency Medicine, 2013. 45(3): p. 348-351 [DOI:10.1016/j.jemermed.2012.02.089] [PMID]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
