Vicente Ana Patrícia, Gomes Andrea Sousa, Jokubkiene Ligita, Sladkevicius Povilas
Department of Obstetrics and Gynecology, Hospital de Cascais - Dr. José de Almeida, Lisbon, Portugal.
Mälmo Department of Obstetrics and Gynecology, Skåne University Hospital, Lund University, Mälmo, Sweden.
J Med Case Rep. 2021 Jan 12;15(1):7. doi: 10.1186/s13256-020-02597-1.
Ovarian torsion is a gynecological surgical emergency whose diagnosis remains a challenge. Torsion occurs most frequently in women of reproductive age. It is usually associated with the presence of benign masses in the ovary, as malignant tumors are less frequent and less prone to undergo torsion.
We report the case of a 17-year-old Caucasian patient who presented to the emergency department with lower abdominal pain. Ultrasonography evaluation revealed a unilateral ovarian lesion, 11.2 cm, with features suspicious for malignancy and torsion. The patient was referred for surgical torsion treatment and underwent unilateral salpingo-oophorectomy. The pathology report confirmed a serous borderline ovarian tumor with torsion.
Malignant ovarian torsion in pediatric age groups is rare. Ultrasound examination should be recognized as a powerful tool for diagnosis and management, especially when performed by an experienced ultrasonographer.
卵巢扭转是一种妇科外科急症，其诊断仍然是一项挑战。扭转最常发生于育龄女性。它通常与卵巢存在良性肿块有关，因为恶性肿瘤较少见且较少发生扭转。
我们报告一例17岁白种人患者，因下腹部疼痛就诊于急诊科。超声检查发现一侧卵巢有一个11.2厘米的病变，具有可疑恶性和扭转的特征。该患者被转诊接受手术扭转治疗并接受了单侧输卵管卵巢切除术。病理报告证实为伴有扭转的浆液性交界性卵巢肿瘤。
儿童年龄组的恶性卵巢扭转罕见。超声检查应被视为诊断和管理的有力工具，尤其是由经验丰富的超声检查医师进行检查时。
