Gynecologycal acute abdomen in an adolescent

Authors

  • Caroline Rosa Pellicciari FCMS/PUC-SP
  • Letícia de Arruda Camargo FCMS/PUC-SP
  • André Araújo Rozas FCMS/PUC-SP
  • Luiz Lippi Rachkorky FCMS/PUC-SP
  • Joe Luiz Viera Garcia Novo FCMS/PUC-SP

Keywords:

abdomen, acute, adnexa uteri, adnexal diseases, ovarian cysts, torsion abnormality.

Abstract

ABSTRACT
Adnexial torsion is defined as a partial or complete rotation of the adnexial vascular pedicle, causing circulatory ischemia and future necrosis. It is rare, hard to diagnosis and therefore of commonly delayed treatment. Clinical symptoms are nonspecific and similar to acute abdomen what may lead to a delay in its identification, generally performed by ultrasound examination. Treatment is surgical and may include adnexial extraction. Such uncommon diagnosis should always be remembered in adolescents patients whose abdominal pain does not resolve after conventional clinical treatment. In this study we report a demonstrative case of this important pathology.

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Author Biographies

Caroline Rosa Pellicciari, FCMS/PUC-SP

Acadêmica do curso de Medicina da FCMS-PUC/SP

Letícia de Arruda Camargo, FCMS/PUC-SP

Acadêmica do curso de Medicina da FCMS-PUC/SP

André Araújo Rozas, FCMS/PUC-SP

Médico formado pela FCMS-PUC/SP

Luiz Lippi Rachkorky, FCMS/PUC-SP

Médico formado pela FCMS-PUC/SP

Joe Luiz Viera Garcia Novo, FCMS/PUC-SP

Professor do Depto. de Cirurgia da FCMS-PUC/SP

References

Oliveira MAP, Melki LAH, Tavares RCS. Abdome agudo ginecológico. Rev Hosp Pedro Ernesto. 2009; 8:81-8.

Murta EFC, Tiveron FC, Barcelos ACM, Manfrin A. Análise retrospectiva de 287 casos de abdome agudo em ginecologia e obstetrícia. Rev Col Bras Cir. 2001; 28:44-7.

Giordano LA, Giordano MV, Silva RO. Tumores anexiais na adolescência. Adolesc Saúde. 2009; 6:48-52.

El-Amin Ali M, Yahia Al-Shehri M, Zaki ZM, Abu-Eshy S, Albar H, Sadik A. Acute abdomen in pregnancy. Int J Gynaecol Obstet. 1998; 62:31-6.

Neme B, Pinotti JA. Urgências em tocoginecologia. São Paulo: Sarvier; 1992. p. 62-6. Ginecopatias de causas mecânicas.

Cohen SB, Wattiez A, Seidman DS, Goldenberg M, Admon D, Mashiach S, et al. Laparoscopy versus laparotomy for detorsion and sparing of twisted ischemic adnexa. J Soc Laparosc Surg. 2003; 7:295-9.

Nichols DH, Julian PJ. Torsion of adnexa. Clin Obstet Gynecol. 1985; 28: 375-80.

Chang HC, Bhatt S, Dogra VS. Pearls and pitfalls in diagnosis of ovarian torsion. Radiographics. 2008; 28:1355-68.

Rodrigues AF, Oliveira BEC, Santos DR, Silva Junior EF, Guimarães FF, Muniz HG, Andrade LV, Geber S. Torção ovariana. Rev Med Minas Gerais. 2010; 20:78-81.

La Marca A, Volpe A. Antimullerian hormone and ovarian cancer. Hum Reprod Update. 2007; 13:265-73.

Modotti WP, Dias R, Bueno PR, Mussi M, Bergamasco J, Moitim SZ. Torção isolada de trompa: relato de caso. Rev Bras Videocir. 2003; 1:152-6.

Trindade RM, Baroni RH, Rosemberg M, Quadros MS, Racy MCJ, Tachibana A, et al. Achados da ressonância magnética na torção anexial. Einstein. 2010; 8:92-6.

Published

2013-03-25

How to Cite

1.
Pellicciari CR, Camargo L de A, Rozas AA, Rachkorky LL, Novo JLVG. Gynecologycal acute abdomen in an adolescent. Rev. Fac. Ciênc. Méd. Sorocaba [Internet]. 2013Mar.25 [cited 2024Aug.16];15(1):202-5. Available from: https://revistas.pucsp.br/index.php/RFCMS/article/view/7635

Issue

Section

Case Report