Torsion of otherwise healthy ovary Has a worse prognosis than torsion of pathologic ovary in children

• Published in: Journal of pediatric surgery 2019-11, Vol.54 (11), p.2435-2438
• Main Authors: Ollivier, Margot, Sfar Mohamed, Sami, Tessier, Benoit, Ben Ahmed, Yosra, Coffy, Amandine, Garnier, Sarah, Guibal, Marie Pierre, Sultan, Charles, Paris, Francoise, Kalfa, Nicolas
• Format: Article
• Language: English
• Subjects: Adolescent; Child; Child, Preschool; Diagnosis; Female; Follow-Up Studies; Humans; Life Sciences; Ovarian cyst; Ovarian Cysts - diagnostic imaging; Ovarian Cysts - pathology; Ovarian Cysts - surgery; Ovarian Diseases - diagnostic imaging; Ovarian Diseases - pathology; Ovarian Diseases - surgery; Ovarian torsion; Prognosis; Puberty; Retrospective Studies; Time-to-Treatment; Torsion Abnormality - diagnostic imaging; Torsion Abnormality - pathology; Torsion Abnormality - surgery; Ultrasonography
• ISSN: 0022-3468; 1531-5037
• DOI: 10.1016/j.jpedsurg.2019.02.010

To evaluate if torsion of an otherwise healthy ovary (THO) has a different prognosis than torsion with an underlying ovarian mass (TUOM) in children. 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. 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