title: A laparoscopic approach to treating torsion of a nonpregnant uterus accompanied by a large ovarian cyst in a premenarchal girl.
abstract: A 10-year-old premenarchal girl was admitted to our hospital with moderate abdominal pain, although presenting no vomiting or abdominal rebound tenderness. A large abdominal mass was visible and palpable in the periumbilical and epigastric regions. Results of physical examination revealed that the general health status was satisfactory. Computed tomographic scan revealed a large, thin-walled cyst occupying nearly the entire peritoneal cavity. The other viscera were of normal aspect. A laparoscopic approach revealed a left ovarian cystic tumor that was twisted 360 degrees in conjunction with the uterine corpus with hemorrhagic infarction. A partial hysterectomy and a left salpingo-oophorectomy were carried out. The tumor was classified as mature cystic teratoma of the ovary accompanied by hemorrhagic necrosis, not only of the cyst but also of the left uterine tube and the uterine corpus.
authors: Universidade Federal do Triângulo Mineiro, Uberaba, Minas, Gerais, Brazil. robsonmarcia@netsite.com.br
authors: Robson Azevedo
authors: RA
authors: Dutra
authors: Adriana Cartafina
authors: AC
authors: Perez-Bóscollo
authors: Fernanda Cristina Silva Alves
authors: FC
authors: Ribeiro
authors: Nádia Bicego
authors: NB
authors: Vietez
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007238:Infarction / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008572:Menarche; D010048:Ovarian Cysts / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D010052:Ovariectomy / Q000379:methods; D010053:Ovary / Q000098:blood supply; D011627:Puberty; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome; D014599:Uterus / Q000098:blood supply