Ovarian torsion in a 4-year-old girl: case report

Abstract

Introduction: Ovarian torsion, a rare surgical emergency in children, is one of the uncommon causes of acute abdominal pain. In this study, a case of ovarian torsion in a 4-year-old female patient was reported. Case Presentation: A four-year-old female came to Bent al-Huda Hospital in Bojnurd, Iran with a complaint of abdominal pain that had started the day before the visit and was colicky. Abdominal examination showed tenderness in the right lower quadrant. The complete blood count (CBC) test was normal. In the Doppler ultrasound of the abdomen and pelvis, partial right ovarian torsion was observed. The patient underwent torsion under laparotomy and the ovary was preserved. Due to the length of the right utero vaginal ligament, the utero vaginal ligament was shortened with 8 stitches and fixed to the pelvic wall. The ovary was placed in its normal anatomical position and the abdominal wall was repaired. In the examination of the complete serial blood cell count, the test results were normal, and the patient was discharged 72 h after surgery in good general condition. Conclusion: Considering the non-specificity of ovarian torsion symptoms, the possibility of ovarian torsion should be considered in all female children with abdominal pain. However, ovarian torsion in children is a rare emergency that requires early and timely evaluation, diagnosis, and intervention to prevent subsequent catastrophic consequences.