Abstract
The dermoid ovarian is an organic mild tumor. It can be revealed by an adnexal torsion which constitutes a gynecological emergency that can bring into play in a short term after the functional prognosis. We are reporting an observed case in an 11-year-old teenager who is in times peri-pubertal. The patient was presenting a painful abdomino-pelvic syndrome and a pelvic mass at the physical examination. The ultrasound was showing a right cyst mass with a right moderated hydronephrosis. A right adnexectomy was realized. The histological test after excision of the adnexal was showing a mature cystic teratoma of the right ovary with a congestive and edematous tubal fragment.
Highlights
Cysts and ovarian tumors are rare in children and account for 1% to 2% of all childhood tumors [1] [2]
The dermoid ovarian is an organic mild tumor. It can be revealed by an adnexal torsion which constitutes a gynecological emergency that can bring into play in a short term after the functional prognosis
Laparotomy is indicated in case of large volume of the cyst, with a systematic abdominopelvic exploration
Summary
Cysts and ovarian tumors are rare in children and account for 1% to 2% of all childhood tumors [1] [2]. It is quite often asymptomatic and discovered by chance. It is likely to be complicated by an appendix twist that is an acute abdominal emergency requiring early diagnosis in order to rescue ovarian and tubal functions. Ultrasound is a critical examination to be done urgently to assist in diagnosis. The purpose of this work is to draw the practitioner’s attention to the twisting of appendix in acute abdominal emergencies of the girl and the teenager
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