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Research ArticleOriginal Article
Open Access

Comparison of underlying lesions in pediatric and adult ovarian torsion

Safiye Aktas, Seyran Yigit, Gulden Diniz, Fatma S. Pehlivan and Ragip Ortac
Saudi Medical Journal August 2006, 27 (8) 1183-1186;
Safiye Aktas
1420 sok. No 67/1 35230, Alsancak, Izmir, Turkey. Tel. +90 (232) 4641045. Fax. +90 (232) 3625522. E-mail: [email protected]
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  • For correspondence: [email protected]
Seyran Yigit
Department of Pathology, Ataturk Education and Research Hospital, Izmir, Turkey.
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Gulden Diniz
Department of Pathology, Dr Behcet Uz Children's Research Hospital Izmir, Turkey.
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Fatma S. Pehlivan
Department of Pathology, Ataturk Education and Research Hospital, Izmir, Turkey.
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Ragip Ortac
Department of Pathology, Dr Behcet Uz Children's Research Hospital Izmir, Turkey.
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Abstract

OBJECTIVE: To compare the pediatric and adult ovarian torsion and explore a quantitative value to predict a possible underlying tumor.

METHODS: This study included 32 pediatric and 33 adult female cases diagnosed with ovarian torsion and underwent surgical treatment in Dr. Behcet Uz Children's Research Hospital and Ataturk Education and Research Hospital, Izmir, Turkey between 1989 and 2005. We evaluated the properties of the cases statistically.

RESULTS: The mean age of pediatric was 8 years and 3 months and adult cases was 39 years and 8 months. Six cases had an underlying tumor in both pediatric and adult group. The mean diameter and volume difference were 6.84 cm, 91 cc in pediatric and 12.69 cm and 1087 cc in the adult group. In statistical analysis, the diameter and volume increase were significantly higher in cases with underlying tumor in pediatric group. The cut-off value was 7 cm in diameter and 104 cc in volume increase. In the adult group, the diameter and volume increase were not significant in tumor positive and negative group.

CONCLUSION: Torsion of the ovary requiring surgery, is rare and is the mot common reason of abdominal/pelvic mass. These cases are often difficult to decide for surgical procedure especially in pediatric cases. We conclude that an underlying lesion more commonly occurs in children with an increase in ovarian volume of more than 104 cc and a diameter more than 7 cm. Great care should be taken for laparoscopic conservative management especially in these cases. The quantitative analysis is not predictive for the underlying solid lesion in adult cases.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 27 (8)
Saudi Medical Journal
Vol. 27, Issue 8
1 Aug 2006
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Comparison of underlying lesions in pediatric and adult ovarian torsion
Safiye Aktas, Seyran Yigit, Gulden Diniz, Fatma S. Pehlivan, Ragip Ortac
Saudi Medical Journal Aug 2006, 27 (8) 1183-1186;

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Comparison of underlying lesions in pediatric and adult ovarian torsion
Safiye Aktas, Seyran Yigit, Gulden Diniz, Fatma S. Pehlivan, Ragip Ortac
Saudi Medical Journal Aug 2006, 27 (8) 1183-1186;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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