Adnexal torsion in 6 years old girl
Iv. Plachkov, K. Tzvetankov, M. Dimova, Tz. Dobreva, G. Hajidekov

Adnexal torsion in 6 years old girl
Iv. Plachkov, K. Tzvetankov, M. Dimova, Tz. Dobreva, G. Hajidekov

MRI and US findings in Ovarian torsion in a premenarcheal girl are described. Adnexal torsion is an uncommon cause of severe lower abdominal pain in young women (mean age is 10-11), and in 50% of cases such symptoms are observed in pre-menarchal females. However, adnexal torsion should be considered in all premenarcheal girls admitted with acute abdominal pain and evidence of an ovarian mass. Accurate imaging is crucial after onset of early clinical symptoms to confirm the diagnosis and to preserve the viability of the affected ovary. A pelvic ovoid mass was vizualised on ultrasound, suggesting several hypothesis –cystic mass, ovarian torsion, dermoid. Magnetic resonance imaging visualized edematous ovary enlargement and the presence of multiple follicules at the periphery due to congestion from the twisted vascular pedicule. Smooth wall thickening of the partially necrotic. Twisted ovary was seen in the subacute phase, which has been confirmed during laparoscopy. CT was not considered in this 6 years old girl due toionizing radiation.