Diagnosis and the Treatment of Twisted Ovarian Tumours in a 14-Year Old Young Girl

Abstract

This chapter discuss about a case of Laparoscopic Management of a Large Ovarian Cyst Twist in a 14-Year Old Young Girl in Emergency. The diagnosis and the treatment of twisted ovarian tumours are still challenging, especially in adolescent girls. Torsion of an ovarian cyst also can produce no symptoms and be an incidental finding on ultrasound. In children, there has been a shift toward conservative surgery for future fertility preservation. We describe an adolescent girl with a twisted ovarian cyst, in whom emergent laparoscopic surgery was successful. A significant cystic mass, suggestive of an ovarian cyst, was seen on ultrasound. A sizable left ovarian cyst that was twisted on its axis was found during a laparoscopy. The cyst was pierced and detorsed. The surgical exploration by laparoscopy is the key to make a diagnosis of ovarian torsion and allows performing a conservative gesture. The goal for adolescents is to preserve ovarian function as much as possible, detorsion in most cases restores the ovarian vascularization. Laparoscopy is the treatment of choice with many advantages: reduction of the hospital stay, minimal blood losses, early rehabilitation and reduction of significant aesthetic damage in adolescent girls.