Bertozzi Mirko, Magrini Elisa, Bellucci Cristina, Riccioni Sara, Appignani Antonino
S.C. di Clinica Chirurgica Pediatrica, Università degli Studi di Perugia, Ospedale S. Maria della Misericordia, Perugia, Italy.
S.C. di Clinica Chirurgica Pediatrica, Università degli Studi di Perugia, Ospedale S. Maria della Misericordia, Perugia, Italy.
J Pediatr Adolesc Gynecol. 2015 Dec;28(6):e197-201. doi: 10.1016/j.jpag.2015.06.007. Epub 2015 Jun 19.
Recurrent ipsilateral ovarian torsion at pediatric age is a rare event. Different surgical techniques for its prevention are available. We present a case of recurrent ipsilateral ovarian torsion in a prepubertal girl and we reviewed the literature about the management of this condition.
A 6-year-old girl presented with right ovarian torsion and underwent a laparoscopic untwisting. Nine months later an ipsilateral recurrence occurred. Laparoscopic untwisting and right-sided oophoropexy with plication to the round ligament was performed.
In addition to our presented case, four cases of recurrent ipsilateral ovarian torsion in pediatric patients were identified in the literature. The few available reports in the pediatric literature show different management techniques. A long-term study is necessary to define the most effective treatment.
小儿复发性同侧卵巢扭转是一种罕见事件。有多种预防其发生的手术技术。我们报告一例青春期前女孩复发性同侧卵巢扭转病例，并回顾了关于该病症治疗的文献。
一名6岁女孩因右侧卵巢扭转就诊并接受了腹腔镜下扭转复位术。9个月后出现同侧复发。遂行腹腔镜下扭转复位术及右侧卵巢固定术，并将卵巢折叠缝合于圆韧带。
除我们报告的病例外，文献中还发现了4例小儿复发性同侧卵巢扭转病例。儿科文献中为数不多的报告展示了不同的治疗技术。有必要进行长期研究以确定最有效的治疗方法。
