An unusal cause of RLQ abdominal pain in premenarcheal girl: A case of torsion of normal adnexal torsion.
- Author:
Seung Pil LEE
1
;
Gang Deuk KIM
Author Information
1. Department of Obstetrics and Gynecology, Gunsan Medical Center of Wonkwang University Hospital, Gunsan, Korea. splee1228@hanmail.net
- Publication Type:Case Report
- Keywords:
Normal adnexal torsion;
Premanarcheal girl;
RLQ pain
- MeSH:
Abdominal Pain*;
Appendicitis;
Diagnosis;
Diagnosis, Differential;
Female*;
Humans;
Magnetic Resonance Imaging;
Necrosis;
Ovary
- From:Korean Journal of Obstetrics and Gynecology
2006;49(2):472-476
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Torsion of a normal adnexa is rare, but can occurs. For premenarcheal girls, gynecologic disorders are less commonly considered in differential diagnosis because they occur infrequently. Generally, girls with right lower quadrant pain are considered to have appendicitis untill proven otherwise. An immediate diagnosis is very important because early surgical intervention is the only way to save the ovary from necrosis. The author reviews the clinical presentation, ultrasonographic and MRI feature and treatment of torsion of normal uterine adnexa.
