Asynchronous bilateral ovarian torsion. A case report and mini review.
BACKGROUND
Adnexal torsion is a serious condition and delay in surgical intervention may result in loss of ovary. Children and adolescents who have suffered from uterine adnexal torsion may be at risk for asynchronous torsion of the contralateral adnexa.


METHODS
We report the case of asynchronous bilateral ovarian torsion in a 9-year-old girl, resulting in right and subsequently left salpingo-oophorectomy.


CONCLUSIONS
The diagnosis of ovarian torsion often is delayed. When ovarian torsion is suspected, laparoscopy should be performed without delay, and conservative management should be strongly considered to prevent surgical castration. Oophoropexy of the ipsilateral and contralateral ovary should be considered to prevent a recurrent torsion.
Department of Obstetrics and Gynecology of Medicine, University of Ondokuz Mayis, Samsun, Turkey.
Emel
E
Kurtoglu
Department of Obstetrics and Gynecology of Medicine, University of Ondokuz Mayis, Samsun, Turkey. Electronic address: arifkokcu@yahoo.com.
Arif
A
Kokcu
Department of Radiology, School of Medicine, University of Ondokuz Mayis, Samsun, Turkey.
Murat
M
Danaci
D002648:Child; D005260:Female; D020249:Hormone Replacement Therapy; D006801:Humans; D010049:Ovarian Diseases / Q000175:diagnosis / Q000601:surgery*; D010052:Ovariectomy; D012008:Recurrence; D058994:Salpingectomy; D012727:Sex Characteristics; D012741:Sexual Maturation; D014102:Torsion Abnormality / Q000175:diagnosis / Q000601:surgery*
Adolescent; Asynchronous; Bilateral; Girl; Ovarian torsion