Heloury Y, Plattner V, Cohen J Y, David A, Quéré M P, Le Neel J C
Service de Chirurgie Infantile, P.M.E., Nantes.
Arch Fr Pediatr. 1990 Jan;47(1):13-5.
Seven cases of torsion of normal uterine adnexa are reported in children aged 4 to 15 years. In one case diagnosis was made by ultrasonography, allowing conservative treatment under coelioscopy. In the 6 other cases the necrosis of the ovary required its excision. The torsion concerned the ovary and uterine tube in 6 cases and the uterine tube alone in one. In 2 cases, the apparently healthy contralateral ovary was enlarged. From this series, the authors review the clinical and ultrasonographic features of the torsion of normal uterine adnexa. Ultrasonography should be performed in emergency as the conservation of the ovary depends on the precocity of diagnosis and treatment.
报告了7例4至15岁儿童正常子宫附件扭转病例。其中1例通过超声检查确诊，得以在腹腔镜检查下进行保守治疗。其他6例中，卵巢坏死需要切除。6例扭转涉及卵巢和输卵管，1例仅涉及输卵管。2例中，对侧看似健康的卵巢增大。作者从该系列病例中回顾了正常子宫附件扭转的临床和超声特征。由于卵巢的保留取决于诊断和治疗的及时性，因此应在急诊时进行超声检查。
