Journal of Gynecological Endoscopy and Surgery
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CASE REPORT
Year : 2011  |  Volume : 2  |  Issue : 2  |  Page : 109-111

Laparoscopic management of a rare case of spontaneous adnexal torsion in an adolescent


1 Department of Obstetrics and Gynaecology, Sevashetra Hospital, Bangalore, India
2 Department of Pediatric Surgery, Sevashetra Hospital, Bangalore, India

Correspondence Address:
P N Shakuntala
119, 28th Cross, 12th Main, BSK 2nd Stage,Bangalore - 560 070
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-1216.114164

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The occurrence of spontaneous torsion of normal ovary and fallopian tube in an adolescent is very rare. We report a case of a 14-year-old post-menarche teenager who presented as acute abdomen. Here, we discuss the differential diagnosis of acute pain abdomen, importance of immediate diagnostic laparoscopy and prompt decision for de torsion of the ovarian pedicle and mesoalphinx to salvage the fallopian tube and ovary, which has a bearing on future reproduction. The teenager is on follow-up for 4 years and has regular cycles and no recurrence of the symptoms.


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