Uterine torsion: a missed diagnosis in young girls?

BACKGROUND

Uterine torsion is considered exceedingly rare in childhood. Nonspecific symptoms of acute torsion may result in missed diagnosis with long-term complications. We report three girls with uterine torsion and argue that the condition is more common than reported.

CASES

Three girls were referred with complex utero-adnexal structural abnormalities diagnosed as an "unusual congenital anomaly." Further evaluation showed uterine torsion as the underlying event. Corrective surgery was effective in preservation of uterine functions in two patients.

CONCLUSIONS

Uterine torsion may not be rare in young girls. Missed diagnosis of the condition has devastating effects, emphasizing the need for high index of suspicion.