title: 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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.affiliation: Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan. gyendoscopy@gmail.com
authors.forename: Akihiro
authors.initials: A
authors.lastname: Takeda
authors.forename: Shuichi
authors.initials: S
authors.lastname: Manabe
authors.forename: Takashi
authors.initials: T
authors.lastname: Mitsui
authors.forename: Hiromi
authors.initials: H
authors.lastname: Nakamura
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D000291:Adnexal Diseases / Q000209:etiology* / Q000601:surgery; D002648:Child; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010051:Ovarian Neoplasms / Q000150:complications / Q000601:surgery*; D013724:Teratoma / Q000150:complications / Q000601:surgery*; D014102:Torsion Abnormality / Q000601:surgery