Kives Sari L, Bond Sheldon J, Lara-Torre Eduardo
Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, University of Toronto, Toronto, Ontario M4W3Y4, Canada.
J Pediatr Surg. 2005 Aug;40(8):1326-8. doi: 10.1016/j.jpedsurg.2005.05.022.
A case report of a premenarcheal patient with an ovarian torsion and müllerian agenesis is presented. An 11-year-old prepubertal girl presented with severe left lower quadrant abdominal pain and mild rebound. A computed tomography showed a normal appendix; an ultrasound showed a left ovary measuring 3 x 2 cm with multiple 0.5-mm simple cysts. A diagnostic laparoscopy showed the left ovary tube to be twisted, but the uterus was absent, and the right ovary and tube were not visualized in the appropriate location; instead, a right adnexal structure was buried in the right sidewall. The ovary was untwisted and fixed to the pelvic sidewall. Chromosomes were 46,XX, and her hormonal evaluation was normal. Ovarian torsion and müllerian agenesis are rarely reported. An association between the lax attachment of the adnexa and torsion may be a contributing factor in this condition.
本文报告一例初潮前患有卵巢扭转和苗勒管发育不全的患者。一名11岁的青春期前女孩出现严重的左下腹疼痛和轻度反跳痛。计算机断层扫描显示阑尾正常；超声显示左侧卵巢大小为3×2厘米，有多个0.5毫米的单纯囊肿。诊断性腹腔镜检查显示左侧卵巢输卵管扭转，但子宫缺如，右侧卵巢和输卵管未在适当位置显示；相反，右侧附件结构埋于右侧侧壁。卵巢扭转复位并固定于盆腔侧壁。染色体核型为46,XX，激素评估正常。卵巢扭转和苗勒管发育不全鲜有报道。附件附着松弛与扭转之间的关联可能是导致这种情况的一个因素。
