Abstract
A 10-year-old girl presented with a recurrence of left ovarian torsion where she presented with intermittent left sided abdominal pain for 2 days. She had a similar presentation occuring 1 month ago. The patient underwent successful ovarian salvage with laparoscopic left ovary detorsion and bilateral oophoropexy 5 hours after presentation. Tumour markers were not raised. Intraoperative incisional ovarian biopsy showed no evidence of malignancy. Ovarian torsion is a rare gynaecological emergency in children with nonspecific symptoms. Early recognition and surgery are important to prevent ovarian necrosis. The presentation of acute onset unilateral abdominal pain on the background of a similar previous presentation should alert the clinician of this diagnosis. Although ovarian torsions occur more commonly in the presence of adnexal masses more than 5cm in size, it can also occur in normal ovaries especially in the premenarchal age group. Laparoscopic detorsion is the treatment of choice with oophoropexy a feasible option for prevention of a recurrence. Close follow up with ovarian surveillance is required to ensure resolution of ovarian enlargement.
Highlights
Ovarian torsion has an incidence rate of 2/10 000 to 4.9/100 000 [1]
We describe a 10-year-old girl who presented with a recurrence of left ovarian torsion
The occurrence of ovarian torsion in normal ovaries amongst premenarchal girls is a clinical entity that should be recognized by clinicians
Summary
Ovarian torsion has an incidence rate of 2/10 000 to 4.9/100 000 [1]. The symptoms are non-specific ranging from abdominal pain, nausea, vomiting or low-grade fever. A 10-year-old girl presented with a two-day history of intermittent left sided abdominal pain, which worsened on the day of admission. She had no fever, vomiting or change in bowel habit. There were no urinary symptoms or per vaginal bleed She had a similar episode of abdominal pain with vomiting 1 month ago, where she had been diagnosed left ovarian torsion and had undergone left ovary detorsion. Examination during this current presentation revealed left iliac fossa localised tenderness but no palpable masses. Bilateral oophoropexy was done with fixation of both ovaries to the
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