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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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© 1988 Springer-Verlag New York Inc. Published by Elsevier Inc. All rights reserved.