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Ovarian borderline tumor presenting as ovarian torsion in a 17-year-old patient : a case report

Vicente, Ana Patrícia ; Gomes, Andrea Sousa ; Jokubkiene, Ligita LU and Sladkevicius, Povilas LU orcid (2021) In Journal of Medical Case Reports 15(1).
Abstract

Background: Ovarian torsion is a gynecological surgical emergency whose diagnosis remains a challenge. Torsion occurs most frequently in women of reproductive age. It is usually associated with the presence of benign masses in the ovary, as malignant tumors are less frequent and less prone to undergo torsion. Case presentation: We report the case of a 17-year-old Caucasian patient who presented to the emergency department with lower abdominal pain. Ultrasonography evaluation revealed a unilateral ovarian lesion, 11.2 cm, with features suspicious for malignancy and torsion. The patient was referred for surgical torsion treatment and underwent unilateral salpingo-oophorectomy. The pathology report confirmed a serous borderline ovarian... (More)

Background: Ovarian torsion is a gynecological surgical emergency whose diagnosis remains a challenge. Torsion occurs most frequently in women of reproductive age. It is usually associated with the presence of benign masses in the ovary, as malignant tumors are less frequent and less prone to undergo torsion. Case presentation: We report the case of a 17-year-old Caucasian patient who presented to the emergency department with lower abdominal pain. Ultrasonography evaluation revealed a unilateral ovarian lesion, 11.2 cm, with features suspicious for malignancy and torsion. The patient was referred for surgical torsion treatment and underwent unilateral salpingo-oophorectomy. The pathology report confirmed a serous borderline ovarian tumor with torsion. Conclusions: Malignant ovarian torsion in pediatric age groups is rare. Ultrasound examination should be recognized as a powerful tool for diagnosis and management, especially when performed by an experienced ultrasonographer.

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author
; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adolescent, Case report, Ovarian borderline tumors, Ovarian torsion, Ultrasonography
in
Journal of Medical Case Reports
volume
15
issue
1
article number
7
publisher
BioMed Central (BMC)
external identifiers
  • pmid:33436080
  • scopus:85099248599
ISSN
1752-1947
DOI
10.1186/s13256-020-02597-1
language
English
LU publication?
no
id
9281b69a-a58e-49da-8a2b-8ee7ed14c5a2
date added to LUP
2021-01-22 10:59:25
date last changed
2024-08-08 11:09:43
@article{9281b69a-a58e-49da-8a2b-8ee7ed14c5a2,
  abstract     = {{<p>Background: Ovarian torsion is a gynecological surgical emergency whose diagnosis remains a challenge. Torsion occurs most frequently in women of reproductive age. It is usually associated with the presence of benign masses in the ovary, as malignant tumors are less frequent and less prone to undergo torsion. Case presentation: We report the case of a 17-year-old Caucasian patient who presented to the emergency department with lower abdominal pain. Ultrasonography evaluation revealed a unilateral ovarian lesion, 11.2 cm, with features suspicious for malignancy and torsion. The patient was referred for surgical torsion treatment and underwent unilateral salpingo-oophorectomy. The pathology report confirmed a serous borderline ovarian tumor with torsion. Conclusions: Malignant ovarian torsion in pediatric age groups is rare. Ultrasound examination should be recognized as a powerful tool for diagnosis and management, especially when performed by an experienced ultrasonographer.</p>}},
  author       = {{Vicente, Ana Patrícia and Gomes, Andrea Sousa and Jokubkiene, Ligita and Sladkevicius, Povilas}},
  issn         = {{1752-1947}},
  keywords     = {{Adolescent; Case report; Ovarian borderline tumors; Ovarian torsion; Ultrasonography}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{Journal of Medical Case Reports}},
  title        = {{Ovarian borderline tumor presenting as ovarian torsion in a 17-year-old patient : a case report}},
  url          = {{http://dx.doi.org/10.1186/s13256-020-02597-1}},
  doi          = {{10.1186/s13256-020-02597-1}},
  volume       = {{15}},
  year         = {{2021}},
}