Laparoscopic Management of Ovarian Dysgerminoma Presenting with Acute Abdomen Caused by Adnexal Torsion in a 17-Year-Old Girl

Abstract Background Ovarian dysgerminoma cases very rarely present with acute abdomen due to adnexal torsion and the successful laparoscopic management of such a case has not been reported previously. Case A 17-year-old sexually inactive high school girl presenting with acute abdomen was referred to...

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Bibliographic Details
Published in:Journal of pediatric & adolescent gynecology 2009-02, Vol.22 (1), p.e9-e13
Main Authors: Takeda, Akihiro, MD, Mori, Masahiko, MD, Sakai, Kotaro, MD, Mitsui, Takashi, MD, Nakamura, Hiromi, MD
Format: Article
Language:English
Subjects:
Abdomen, Acute - etiology
Acute abdomen
Adnexal torsion
Adolescent
Dysgerminoma
Dysgerminoma - complications
Dysgerminoma - diagnostic imaging
Dysgerminoma - surgery
Female
Humans
Laparoscopic surgery
Laparoscopy
Obstetrics and Gynecology
Ovarian Diseases - surgery
Ovarian Neoplasms - complications
Ovarian Neoplasms - diagnostic imaging
Ovarian Neoplasms - surgery
Ovariectomy - methods
Pediatrics
Torsion Abnormality - complications
Torsion Abnormality - surgery
Ultrasonography
Young girl
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Summary:Abstract Background Ovarian dysgerminoma cases very rarely present with acute abdomen due to adnexal torsion and the successful laparoscopic management of such a case has not been reported previously. Case A 17-year-old sexually inactive high school girl presenting with acute abdomen was referred to our emergency department. Transabdominal ultrasonography showed the presence of homogeneous tumor in the lower abdomen. Emergency laparoscopic surgery was performed and left ovarian tumor with adnexal torsion was identified. Left salpingo-oophorectomy was performed carefully to avoid damaging the tumor capsule and the excised tissue was removed after retrieval in an endobag. The histopathological diagnosis was pure ovarian dysgerminoma. The postoperative course was uneventful. Conclusion Laparoscopic management with careful postoperative follow-up to monitor recurrence could be a treatment option in a young girl with dysgerminoma, if the disease condition is detected in the early stage.
ISSN:1083-3188
1873-4332
DOI:10.1016/j.jpag.2007.12.009