Korean J Obstet Gynecol.  2007 May;50(5):807-811.

Asynchronous bilateral adnexal torsion in a 16 year old female: A successful conservative treatment by laparoscopic surgery

• Kim JH
• Kang KH
• Yang YS
• Hwang IT
• Park JS
• Kim SH
• Kim JS

Abstract

Adnexal torsion is a disease occurring mostly in young fertile women that causes severe pain with necrosis of the adnexa requiring an emergency surgery. Because the symptoms and physical findings are similar to emergency diseases of adjacent organs such as appendicitis, diagnosis of adnexal torsion could be confused. Delayed diagnosis leads to delayed operation and for that reason adnexectomy is done more often than conservative management. Since prompt diagnosis is the sole way for preservation of the ovary and the salpinx, early diagnosis of adnexal torsion is essential. We experienced a case of a 16 year old female with torsion of the right adnexa who had the left adnexa previously removed due to torsion of the left adnexa. The case is presented with review of the literature.

Keyword

Adnexal torsion; Conservative management

MeSH Terms

Adolescent*
Appendicitis
Delayed Diagnosis
Diagnosis
Early Diagnosis
Emergencies
Fallopian Tubes
Female*
Humans
Laparoscopy*
Necrosis
Ovary