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"Habitual adnexal torsions"--recurrence after two oophoropexies in a prepubertal girl: a case report and review of the literature.

Abstract：

BACKGROUND:Recurrent adnexal torsion rarely affects girls. Various surgical techniques for its prevention are available. We describe a case of recurrent asynchronous bilateral torsions in a prepubertal patient. CASE:An 8-year-old girl first presented with a right adnexal torsion and underwent a laparoscopic untwisting. During the following 3 years, 4 additional laparoscopies were required for treatment of left adnexal torsions. Although undergoing bilateral utero-ovarian ligament plication twice, torsion recurred. After examining the various options, we fixated the left ovary to the sidewall just below the pelvic brim. SUMMARY AND CONCLUSION:In the absence of clear evidence, treatment should be flexible and dependent on the individual case. Thorough patient education is imperative in order to prevent a delay in diagnosis and treatment of recurrent adnexal torsion.

journal_name

J Pediatr Adolesc Gynecol

journal_title

Journal of pediatric and adolescent gynecology

authors

Sheizaf B,Ohana E,Weintraub AY

doi

10.1016/j.jpag.2013.01.060

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

e81-4

issue

3

eissn

1083-3188

issn

1873-4332

pii

S1083-3188(13)00063-6

journal_volume

26

pub_type

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