Ovarian torsion in adolescents with and without ovarian mass
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This study by the Journal of Pediatric & Adolescent Gynecology compares the characteristics of adolescents with and without adnexal mass diagnosed with ovarian torsion (OT).

Adolescent girls who were operated on for OT were included in this retrospective cross-sectional study.

The patients were divided into two groups according to the presence or absence of an ovarian mass and compared. Demographic and clinical characteristics, imaging findings, operation, and pathology reports of the patients were obtained. Differences in initial symptoms, ultrasound findings, the diagnostic process, and the degree of torsion of patients with and without ovarian mass.

--76 patients were diagnosed with OT. 41 of these patients had an ovarian mass (OTwM), and 35 patients had no pathology (OTnP).

--The admission to surgery interval was longer in the OTnP group. Ultrasound findings of ovarian edema and the appearance of free fluid were significant in the OTnP group.

--The largest dimension of the non-torsion ovary in the OTnP group was greater than in the OTwM group.

--In addition, it was found that torsion more than 360 degrees was more common in the OTnP group than in the OTwM group.

In symptomatic adolescents without an ovarian mass, the presence of follicle peripheralization suggesting ovarian edema on ultrasound and the presence of free fluid in the abdomen are important in terms of suspicion of torsion for clinicians. In addition, the degree of torsion has increased in these patients.

Source: https://doi.org/10.1016/j.jpag.2021.05.007