Adnexal torsion leading to death of an infant.
BACKGROUND
Torsion of the uterine adnexa is an uncommon occurrence in infants, but when it does occur, the consequences may be catastrophic.


METHODS
A 4-month-old female presented with sudden cardiac and respiratory arrest. There were no prior signs of illness. The infant was resuscitated and survived for one day after the event. Autopsy revealed a left ovarian cyst with torsion. Necrosis of the transverse colon was also seen. Other organs revealed signs of shock. The cause of death was felt to be related to the torsion.


CONCLUSIONS
Torsion of the uterine adnexa is rare in infants. In the few reported cases, antecedent symptoms were present. Clinicians should be aware of this possibility and include it in the differential diagnosis of death in infancy.
Fitzhugh
V A
VA
Department of Pathology and Laboratory Medicine, University of Medicine and Dentistry- New Jersey Medical School, Newark NJ 07103, USA. fitzhuva@umdnj.edu
Shaikh
J R
JR
Heller
D S
DS
D000291:Adnexal Diseases / Q000401:mortality / Q000473:pathology*; D005187:Fallopian Tubes / Q000473:pathology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007223:Infant; D010048:Ovarian Cysts / Q000401:mortality / Q000473:pathology*; D014102:Torsion Abnormality / Q000401:mortality / Q000473:pathology