Adnexal torsion in pediatric and adolescent girls.
OBJECTIVE
This review provides timely information to assist in solving the diagnostic dilemma of adnexal or ovarian torsion. Knowledge and awareness of current literature is essential to help clinicians improve diagnostic accuracy and avoid potentially catastrophic consequences, including loss of ovarian tissue and function.


RESULTS
This article reviews recent evidence regarding radiologic tools used for efficient, timely diagnosis and management strategies for adnexal torsion, including detorsion. The role of oophoropexy in the pediatric and adolescent population is also reviewed.


CONCLUSIONS
The discussion reinforces the role of detorsion in lieu of oophorectomy or adnextomy in an effort to preserve reproductive capacity in a young population. Long-term follow-up, including reproductive outcomes, is needed to determine the role of oophoropexy.
Breech
Lesley L
LL
Department of Pediatrics, Department of Obstetrics & Gynecology, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA. lesley.breech@cchmc.org
Hillard
Paula J Adams
PJ
D015746:Abdominal Pain / Q000209:etiology; D000291:Adnexal Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery*; D000293:Adolescent; D002648:Child; D005187:Fallopian Tubes / Q000098:blood supply / Q000601:surgery; D005260:Female; D006801:Humans; D010052:Ovariectomy; D010053:Ovary / Q000098:blood supply / Q000601:surgery; D015995:Prevalence; D014102:Torsion Abnormality / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery