[Ovarian torsion in childhood].
A six year old afebrile girl was referred to the emergency department with abdominal pain in the right lower region. A retrouterine partially cystic lesion with an inhomogene echogenity was demonstrated by transabdominal ultrasound. Pelvic MR showed an enlarged right-sided ovary and a thickened vascular pedicle as well as few adjacent free fluid. Diagnosis of ovarian torsion was confirmed intraoperatively. Conservative ovary-sparing treatment was not possible, so right-sided adnexectomy followed. Histopathologically a haemorrhagic infarction of the ovary and the tube was seen. No signs of malignancy and no tumor could be detected.
Tschirch
F T C
FT
Radiologisches Institut, Kantonsspital Baden. frank.tschirch@ksb.ch
Kubik-Huch
R A
RA
Roth
K
K
Wopmann
M
M
Komminoth
P
P
Otto
R
R
D000006:Abdomen, Acute / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D002648:Child; D003937:Diagnosis, Differential; D004630:Emergencies; D019160:Endosonography; D005187:Fallopian Tubes / Q000473:pathology / Q000601:surgery; D005260:Female; D006470:Hemorrhage / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D010048:Ovarian Cysts / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D010049:Ovarian Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010053:Ovary / Q000473:pathology / Q000601:surgery; D010538:Peritonitis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014102:Torsion Abnormality