Abstract
ABSTRACT
A 7-year-old girl had repeated episodes of right ovarian torsion manifested by right lower quadrant abdominal pain. Each time the ovary was evaluated by sonogram, which showed an approximately twofold increase in the overall size of the ovary and continued blood flow by Doppler evaluation. Laparoscopy revealed a viable right ovary, which had rotated 360°; the ovary was otherwise normal. Each time, the ovary was easily subjected to reversal of the torsion. Since the patient had experienced at least three episodes of torsion in 9 months, a definitive procedure was undertaken to reduce this risk. At this time, the utero-ovarian ligament was perceptively longer on the right side than on the left when visualized laparoscopically. The ligament was shortened by suturing it laparoscopically, and an oophoropexy to the abdominal-pelvic sidewall was done. This has been successful in preventing recurrent torsion for over a year.
Get full access to this article
View all access options for this article.