[Elements of gynecology pathology in girls before and during puberty age].
OBJECTIVE
The annexial pathology in little girls is representing a more and more frequent form of acute and chronic abdomen, especially in girls around the age of puberty with dysfunction of the menstrual cycle correlated with disturbance of growing and the occurrence of secondary sexual characters. If this kind of pathology is frequent in the period of puberty, there are cases diagnosticated at small ages.


METHODS
The authors are communicating a number of 25 cases with anexial pathology some of them manifesting the symptoms of the acute abdomen (most of them with torsion of the normal or pathological annexes) others having a chronic aspect. The clinical examination correlated with the imagistic investigations were the main elements for the diagnosis.


CONCLUSIONS
The results were good, the follow-up of the patients is including social therapy with the girls and their families, for integration in the family, evaluating the chance of giving birth. The occurrence of some forms of acute abdomen was frequent on a pathologic annexes (malformated annexes), causing sometimes the excision of it, extended to the uterus. The presence of a malign tumour can be related with different malformations, also caused by exposure to some risk factors: radiation, pollution, chemical agriculture, deficitary alimentation, stress etc.).
Clinica de Chirurgie Pediatrică-UMF Craiova-Facultatea de Medicină, Craiova.
C
C
Sabetay
A
A
Stoica
I
I
Singer
J
J
Kamel
B
B
Zaharia
Anca
A
Maloş
D000006:Abdomen, Acute / Q000209:etiology; D000293:Adolescent; D018236:Carcinoma, Embryonal / Q000175:diagnosis / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D003196:Computer Graphics; D003884:Dermoid Cyst / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010048:Ovarian Cysts / Q000175:diagnosis / Q000601:surgery; D010049:Ovarian Diseases / Q000175:diagnosis* / Q000601:surgery; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000601:surgery; D011627:Puberty; D012488:Salpingitis / Q000175:diagnosis / Q000601:surgery; D013724:Teratoma / Q000175:diagnosis / Q000601:surgery