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Abstract
Three children who presented with bilateral ovarian torsion are described. One patient
presented with torsion on the right at age 4 and on the left at age 6, both necessitating
salpingo-oophorectomies. Two patients had bilateral ovarian disease as neonates; a
small portion of one ovary was left intact after these patients underwent resection.
At puberty, gonadotropin status and physical development indicated ovarian failure.
One patient who presented in infancy experienced normal pubertal development including
menarche. She has demonstrated adequate ovarian function to date. These findings suggest
that every effort should be made to preserve viable tissue. If unilateral torsion
is involved, pexing or plication of the contralateral adnexa should be performed.
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References
- Bilateral torsion of the adnexa. A case report and a review of the world literature.Obstet Gynecol. 1984; 64: 55S
- Torsion of the fallopian tube.Acta Obstet Gynec Scandinav. 1962; 41: 292
- Surgical ovarian lesions in children.Am Surg. 1981; 47: 474
- Sequential bilateral torsion of normal ovaries in a child.J Ultrasound Med. 1986; 11: 663
- Ovarian cystectomy of twisted cysts.Lancet. 1946; 2: 47
- Adnexal torsion.Am J Obstet and Gynecol. 1985; 152: 456
- Sequential torsion of the uterine ad-nexa.Mayo Clinic Proc. 1987; 62: 623
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Copyright
© 1988 Springer-Verlag New York Inc. Published by Elsevier Inc. All rights reserved.
