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Surgery on Children

Surgery on Children Journal aims to publish issues related to Pediatric Surgery, Pediatric Neurosurgery, Pediatric Plastic Surgery, Pediatric Cardiovascular Surgery, Pediatric Orthopedic Surgery, Pediatric Vascular Surgery, Pediatric Gynecology and Obstetrics, Pediatric Ear Nose Throat, Ophthalmology, Pediatric Anesthesiology and Reanimation, Pediatric Urology, Pediatric Surgical Intensive Care Clinic, and other clinical surgery fields on children of the highest scientific and clinical value at an international level and accepts articles on these topics.

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The evaluation, diagnosis and management of adnexal torsion in pediatric and adolescent patients
Abstract
Adnexal torsion is a surgically diagnosed gynecological emergency with 30% of cases occurring in females under the age of 20. The most common ovarian pathologies observed in adolescents with adnexal torsion are benign teratomas and benign functional ovarian cysts. However, in 46% of cases, torsioned ovaries are normal, without a mass or cyst. The torsion of malignant ovarian masses is extremely rare in this population. Torsion often presents with sudden-onset, intermittent abdominal pain, nausea and vomiting. It should be noted that there are no sufficient clinical or imaging criteria available, and Doppler ultrasound alone is not a guide to clinical decision-making to confirm the pre-operative diagnosis of adnexal torsion. If ovarian torsion is suspected, prompt intervention with diagnostic laparoscopy is recommended to preserve ovarian and tubal function. In 50% of cases, adnexal torsion is not found during laparoscopy; however, other gynecologic pathologies are identified and treated. When adnexal torsion is detected, detorsioning is recommended, regardless of ovarian appearance. The purpose of this review is to guide clinicians regarding the current management and ovarian-sparing surgery of adolescent and pediatric patients with adnexal torsion.

Keywords : Adnexal torsion, adolescent, laparoscopy, ovarian torsion

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Article available in :
Volume 2, Issue 4, 2025
Page : 158-162
https://doi.org/10.51271/SOC-0055
Article Information
Received : 21 Tem 2025
Accepted : 21 Ağu 2025
Published : 01 Eki 2025
Corresponding Author :

Evrim Ebru Kovalak: Department of Obstetrics and Gynecology, Bağcılar Training and Research Hospital, İstanbul, Turkiye

[email protected]
Citation : Kovalak EE. The evaluation, diagnosis and management of adnexal torsion in pediatric and adolescent patients. Surg Child. 2025;2(4):158-162.

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