“习惯性附件扭转”——青春期前女孩两次卵巢固定术后复发：一例病例报告及文献复习
"Habitual adnexal torsions"--recurrence after two oophoropexies in a prepubertal girl: a case report and review of the literature.
作者信息
Sheizaf Boaz, Ohana Eric, Weintraub Adi Yehuda
机构信息
Department of Obstetrics and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel.
出版信息
J Pediatr Adolesc Gynecol. 2013 Jun;26(3):e81-4. doi: 10.1016/j.jpag.2013.01.060. Epub 2013 Mar 19.
BACKGROUND
Recurrent adnexal torsion rarely affects girls. Various surgical techniques for its prevention are available. We describe a case of recurrent asynchronous bilateral torsions in a prepubertal patient.
CASE
An 8-year-old girl first presented with a right adnexal torsion and underwent a laparoscopic untwisting. During the following 3 years, 4 additional laparoscopies were required for treatment of left adnexal torsions. Although undergoing bilateral utero-ovarian ligament plication twice, torsion recurred. After examining the various options, we fixated the left ovary to the sidewall just below the pelvic brim.
SUMMARY AND CONCLUSION
In the absence of clear evidence, treatment should be flexible and dependent on the individual case. Thorough patient education is imperative in order to prevent a delay in diagnosis and treatment of recurrent adnexal torsion.
背景
复发性附件扭转很少影响女孩。有多种预防其发生的手术技术。我们描述了一例青春期前患者复发性异步双侧扭转的病例。
病例
一名8岁女孩首次因右侧附件扭转就诊并接受了腹腔镜扭转复位术。在接下来的3年里，又进行了4次腹腔镜手术以治疗左侧附件扭转。尽管两次进行了双侧子宫卵巢韧带折叠术，但扭转仍复发。在研究了各种选择后，我们将左侧卵巢固定于骨盆边缘下方的侧壁。
总结与结论
在缺乏明确证据的情况下，治疗应灵活并取决于个体情况。必须对患者进行充分的教育，以防止复发性附件扭转的诊断和治疗延误。
Zotero 插件