Laparoscopic management of mature cystic teratoma of bilateral ovaries with adnexal torsion occurring in a 9-year-old premenarchal girl.

Abstract:

BACKGROUND:Laparoscopic surgery is a minimal-access procedure with many advantages. However, reports of young girls with adnexal disease treated by laparoscopic surgery are limited in the literature. CASE:A 9-yr-old premenarchal girl presenting with acute abdomen was treated by emergency laparoscopic surgery. Bilateral adnexal torsion was noted. After detorsion, bilateral cystectomy was successfully performed and ovarian tissues were preserved. Pathological diagnosis was mature cystic teratoma of bilateral ovaries. CONCLUSION:Although adnexal torsion occurring in a premenarchal girl is an extremely rare disorder and bilateral adnexal torsion is even more rare, gynecologists should possess sufficient knowledge about the manifestations of such disorder for immediate diagnosis and treatment to preserve future fertility and, if available, laparoscopic approach should be chosen for a young girl.

authors

Takeda A,Manabe S,Mitsui T,Nakamura H

doi

10.1016/j.jpag.2006.05.017

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

403-6

issue

6

eissn

1083-3188

issn

1873-4332

pii

S1083-3188(06)00227-0

journal_volume

19

pub_type

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