Laparoscopic Management of Mature Cystic Teratoma of Bilateral Ovaries with Adnexal Torsion Occurring in a 9-Year-Old Premenarchal Girl

Abstract 

Background

Laparoscopic surgery is a minimal-access procedure with many advantages. However, reports of young girls with adnexal disease treated by laparoscopic surgery are limited in the literature.

Case

A 9-yr-old premenarchal girl presenting with acute abdomen was treated by emergency laparoscopic surgery. Bilateral adnexal torsion was noted. After detorsion, bilateral cystectomy was successfully performed and ovarian tissues were preserved. Pathological diagnosis was mature cystic teratoma of bilateral ovaries.

Conclusion

Although adnexal torsion occurring in a premenarchal girl is an extremely rare disorder and bilateral adnexal torsion is even more rare, gynecologists should possess sufficient knowledge about the manifestations of such disorder for immediate diagnosis and treatment to preserve future fertility and, if available, laparoscopic approach should be chosen for a young girl.

Key Words: Mature cystic teratoma, Premenarchal girl, Laparoscopic surgery, Adnexal torsion