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  • Title: "Habitual adnexal torsions"--recurrence after two oophoropexies in a prepubertal girl: a case report and review of the literature.
    Author: Sheizaf B, Ohana E, Weintraub AY.
    Journal: J Pediatr Adolesc Gynecol; 2013 Jun; 26(3):e81-4. PubMed ID: 23518360.
    Abstract:
    BACKGROUND: Recurrent adnexal torsion rarely affects girls. Various surgical techniques for its prevention are available. We describe a case of recurrent asynchronous bilateral torsions in a prepubertal patient. CASE: An 8-year-old girl first presented with a right adnexal torsion and underwent a laparoscopic untwisting. During the following 3 years, 4 additional laparoscopies were required for treatment of left adnexal torsions. Although undergoing bilateral utero-ovarian ligament plication twice, torsion recurred. After examining the various options, we fixated the left ovary to the sidewall just below the pelvic brim. SUMMARY AND CONCLUSION: In the absence of clear evidence, treatment should be flexible and dependent on the individual case. Thorough patient education is imperative in order to prevent a delay in diagnosis and treatment of recurrent adnexal torsion.
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