Torsion of otherwise healthy ovary has a worse prognosis than torsion of pathologic ovary in children
Author / Expert
Ollivier Margot, Sfar Mohamed Sami, Teissier Benoit, Ben Ahmed Yosra, Coffy Amandine, Garnier Sarah, Marie-pierre Guibal, Sultan Charles, Paris Françoise, Kalfa Nicolas
Topic overview
Abstract
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
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