Grover Sonia, Sharma Yuthika, Mittal Suneeta
Department of Pediatric and Adolescent Gynecology, Centre for Adolescent Health, Royal Children's Hospital, Melbourne Australia.
J Pediatr Adolesc Gynecol. 2009 Feb;22(1):e5-8. doi: 10.1016/j.jpag.2007.10.006.
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.
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.
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.
子宫扭转在儿童期被认为极为罕见。急性扭转的非特异性症状可能导致漏诊并引发长期并发症。我们报告了三名患有子宫扭转的女孩，并认为这种情况比报道的更为常见。
三名女孩因复杂的子宫附件结构异常被转诊，诊断为“罕见的先天性异常”。进一步评估显示子宫扭转是潜在病因。两名患者接受了矫正手术，有效保留了子宫功能。
子宫扭转在年轻女孩中可能并不罕见。该病症的漏诊会产生严重后果，强调了高度怀疑的必要性。
