Torsion of otherwise healthy ovary has a worse prognosis than torsion of pathologic ovary in children
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In brief
In brief
Retrospective study of 54 pediatric ovarian torsion cases found that torsion of otherwise healthy ovaries has significantly worse outcomes than torsion with underlying ovarian masses, with higher rates of atrophy (74% vs 19%). Late surgical intervention and absence of pathologic mass were identified as key prognostic factors for ovarian loss.
Written by the GCMD Library team from the article.
Introduction
To evaluate if torsion of an otherwise healthy ovary (THO) has a different prognosis than torsion with an underlying ovarian mass (TUOM) in children.
Material and methods
Children with an ovarian torsion who were treated in our department from 1997 to 2016 were studied retrospectively. Patients with prenatal ovarian torsion and isolated oviduct torsion were excluded. Trophicity of the ovary was assessed by ultrasonography at the end of follow-up.
Results
Fifty-four girls were included. Twenty-seven presented a TUOM; the others had a THO. Beside the deleterious effect of late surgical management, another prognostic factor was identified. THO was more prone to an ovarian hypotrophy or atrophy than TUOM (n = 20 vs n = 5, p 12 years, 52.9% vs 11.1%, p