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

Kim, Jeong Hyun; Kang, Kyoung Hwa; Yang, Yoon Seok; Hwang, In Taek; Park, Joon Suk; Kim, Seung Hyun; Kim, Jin Sub

Case Report

Korean Journal of Obstetrics & Gynecology 2007;50(5):807-811.
Published online May 1, 2007.

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

Jeong Hyun Kim, Kyoung Hwa Kang, Yoon Seok Yang, In Taek Hwang, Joon Suk Park, Seung Hyun Kim, Jin Sub Kim

Department of Obstetrics & Gynecology, Eulji university hospital, Daejeon, Korea. beatrix@eulji.ac.kr

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.

Key Words: Adnexal torsion, Conservative management