DOI: 10.36347/sasjs.2024.v10i07.014

Pages: 806-808

Introduction: Adnexal torsion is of particular concern because it occurs most often in girls, adolescents and women of childbearing age (average age: 26 years), that is, those at greatest risk of see their ovarian function and fertility affected. Observation: 8-year-old girl, with no known history, admitted for abdominal pain of hypogastric location which has been evolving for 48 hours, in whom clinical examination revealed a hypogastric mass of firm consistency. The abdominal-pelvic CT performed revealed a heterogeneous subbladder cystic mass whose appearance suggests a reworked right ovarian cyst. Alpha fetoprotein and Beta HCG are normal. She underwent surgery. Exploration revealed torsion of the right appendix with necrosis of the right ovarian cyst. We performed a right adnexectomy removing the necrotic right ovarian cyst. The postoperative course was simple. After 06 months, the evolution is favorable. Conclusion: Adnexal torsion remains a very difficult condition to diagnose. As its clinical picture is often nonspecific and includes very few distinctive physical manifestations, diagnosis and surgical intervention are generally late.