title: Acute ovarian torsion and primary hypothyroidism.
abstract: A 12-year-old girl presented with acute abdominal pain due to an acute ovarian torsion. She required an oophorectomy. Clinical and laboratory assessment confirmed severe primary hypothyroidism. In this report, we review this rare complication of untreated primary hypothyroidism and the physiologic mechanisms proposed to explain this phenomenon.
authors.affiliation: Seattle Children’s Hospital, Division of Endocrinology and Diabetes, Department of Pediatrics, University of Washington, Seattle, WA, USA.
authors.forename: Debika
authors.initials: D
authors.lastname: Nandi-Munshi
authors.forename: Angela
authors.initials: A
authors.lastname: Tridgell
authors.forename: Craig E
authors.initials: CE
authors.lastname: Taplin
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology / Q000601:surgery; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007037:Hypothyroidism / Q000150:complications* / Q000175:diagnosis*; D010048:Ovarian Cysts / Q000175:diagnosis / Q000473:pathology; D010049:Ovarian Diseases / Q000175:diagnosis* / Q000469:parasitology / Q000601:surgery; D010052:Ovariectomy; D010053:Ovary / Q000473:pathology; D013960:Thyroid Function Tests; D014102:Torsion Abnormality / Q000175:diagnosis* / Q000469:parasitology / Q000601:surgery; D014463:Ultrasonography
keywords: abdominal pain/diagnosis; child; female; humans; hypothyroidism/diagnosis; hypothyroidism/drug therapy; ovarian cysts/drug therapy; precocious/diagnosis; precocious/drug therapy; precocious/metabolism; puberty; thyroxine/therapeutic use