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Stanford Health Care

Adnexal torsion in pediatric and adolescent girls CURRENT OPINION IN OBSTETRICS & GYNECOLOGY Breech, L. L., Hillard, P. J. 2005; 17 (5): 483-489

Abstract

This review provides timely information to assist in solving the diagnostic dilemma of adnexal or ovarian torsion. Knowledge and awareness of current literature is essential to help clinicians improve diagnostic accuracy and avoid potentially catastrophic consequences, including loss of ovarian tissue and function.This article reviews recent evidence regarding radiologic tools used for efficient, timely diagnosis and management strategies for adnexal torsion, including detorsion. The role of oophoropexy in the pediatric and adolescent population is also reviewed.The discussion reinforces the role of detorsion in lieu of oophorectomy or adnextomy in an effort to preserve reproductive capacity in a young population. Long-term follow-up, including reproductive outcomes, is needed to determine the role of oophoropexy.

View details for Web of Science ID 000232499500007

View details for PubMedID 16141762