Retrospective Analysis of Ovarian Torsion in Adolescence, A University Hospital Experience

Abstract

Objective: To highlight and suggest a strategy in the management of adnexal torsion in pre- and
post- menarcheal adolescent girls.
Material and Methods: A retrospective 10 year chart review was carried out between the
period January 2002 and December 2011 at a tertiary care centre at King Khalid University
Teaching Hospital (KKUH), Riyadh.
Results: A total of 71 girls were admitted with post operative diagnosis of ovarian cyst. Of them,
10 girls had adnexal torsion and underwent oophorectomy; the mean age of the 10 girls was 14.1
(range 8-19) years. The commonest clinical symptom was lower abdominal pain in 9 out of 10
girls. An erron diagnosis occurred in 7 girls, with diagnosis of acute appendicitis being made in
some of them. Tclinical presentations in general were not specific. Mean time 8) hours. Two girls
had normal appearing adnexa while two had benign neoplasm.
Conclusions: The evidence from the literature supports conservative laparoscopic
management of adnexal torsion with a view of conserving the ovary. Unfortunately, all cases in our
study were managed with removal of the adnexa and more than half via laparotomy