Oophoropexy, hyperbaric oxygen therapy, and contrast-enhanced ultrasound after asynchronous bilateral ovarian torsion.
A girl with asynchronous, bilateral ovarian torsion with previous oophorectomy presented with her second torsion. A laparoscopic untwisting of the torsed ovary was performed, treatment with hyperbaric oxygen therapy was given, and the outcome was followed with contrast-enhanced ultrasound. After 1 month, a laparoscopic oophoropexy was performed. The detorsed ovary regained its circulation and decreased in size. It looked normal at the time for oophopexy and at follow-up. This case supports the evidence of an ovarian-sparing approach to ovarian torsion in children and supports oophoropexy after torsion of a detorsed, otherwise normal ovary in the premenarcheal girl.
Svensson
Jan F
JF
Department of Pediatric Surgery, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Solna, Sweden. jan.f.svensson@karolinska.se
Larsson
Agneta
A
Uusijärvi
Johan
J
von Sivers
Karin
K
Kaiser
Sylvie
S
D002648:Child; D003287:Contrast Media; D005260:Female; D006801:Humans; D006931:Hyperbaric Oxygenation; D010535:Laparoscopy; D010049:Ovarian Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D010053:Ovary / Q000601:surgery*; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000601:surgery*; D014463:Ultrasonography
D003287:Contrast Media