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J Pediatr Adolesc Gynecol 2019 Apr 11. Epub 2019 Apr 11.

Department of Pediatric Hematology Oncology and BMT, Cleveland Clinic Children's.

Background: Beckwith-Wiedemann syndrome (BWS) is the most common pediatric overgrowth syndrome. BWS has a broad phenotypic presentation along with an increased propensity to develop various embryonal tumors. There are very few reported cases of gonadal hyperplasia in BWS patients in the existing literature. Read More

Arch Gynecol Obstet 2019 Apr 12. Epub 2019 Apr 12.

Department of Histology and Embryology, Ege University, Izmir, Turkey.

Purpose: To evaluate the effect of remote ischemic conditioning (RIC) on ovarian ischemia/reperfusion injury in a rat model.

Methods: A total of 36 Wistar albino rats with a body weight of 220-250 g were used for this study. Right adnexal torsion was performed for 180 min, and at the end of the period, the adnex was released and the abdomen was reclosed for 180 min for reperfusion. Read More

J Obstet Gynaecol India 2019 Apr 10;69(2):180-184. Epub 2018 Jul 10.

Department of Obstetrics and Gynaecology, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu 625014 India.

Introduction: Despite their relative frequency, paraovarian cyst received only scant attention. Clinician should be aware of the complications of paraovarian cyst.

Objective: To analyse the clinical profile, complications and management of paraovarian cyst. Read More

Emerg Med Clin North Am 2019 May;37(2):239-249

Department of Obstetrics and Gynecology, Washington University in St. Louis, 660 South Euclid, Mailbox 8064-37-905, Saint Louis, MO 63110, USA.

Although only accounting for a small percentage of infants born in the United States each year, assisted reproductive technology (ART) has become a more common means of conception since the first in vitro fertilization baby was born in 1978. An understanding of the ART process, medications, and complications is becoming essential for emergency medicine practice. Much of the surveillance data focuses on ART complications that are likely to be less relevant in the acute care setting, but ovarian hyperstimulation syndrome, ectopic pregnancy, and ovarian torsion are 3 diagnoses with high potential morbidity and mortality that emergency physicians should not miss. Read More

Emerg Med Clin North Am 2019 May;37(2):207-218

Medstar Georgetown University Hospital, 3800 Reservoir Road Northwest, Washington, DC 20007, USA.

Acute pelvic pain has gynecologic and nongynecologic causes, and distinguishing between them can be difficult in the emergency department. Ovarian cysts, adnexal torsion, and pelvic inflammatory disease are conditions that emergency physicians must be able to identify. Pelvic pathologic condition can be readily assessed with ultrasound but has significant limitations. Read More

Emerg Med Clin North Am 2019 May;37(2):193-205

Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA. Electronic address:

Variations in estrogen levels across a woman's lifetime lead to important changes in genital physiology and pathophysiology. Low estrogen states like menopause and the prepubertal period share important physiologic changes, including more friable, dry, and inelastic mucosa that is prone to irritation, injury, and infection. These and other factors lead to unique gynecologic pathologic conditions encountered at the extremes of age. Read More

Clin Imaging 2019 Mar 26;56:69-72. Epub 2019 Mar 26.

Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey.

Purpose: We aimed to describe "T2-hypointense dot sign" for the diagnosis of ovarian torsion and compare its diagnostic capability with whirlpool sign.

Methods: Pelvic MRIs of 31 patients with surgically proven ovarian torsion were used for the analysis. The control group was comprised of 30 patients with adnexal neoplasm and 15 patients with tubo-ovarian abscess. Read More

Radiol Clin North Am 2019 May 14;57(3):601-616. Epub 2019 Feb 14.

Department of Radiology, Mayo Clinic Arizona, Phoenix, AZ 85054, USA.

Pelvic ultrasound with endovaginal ultrasound is often the imaging test of choice in the initial evaluation of nonpregnant women with pelvic pain. This article considers the sonographic observations and techniques useful in diagnosis of a variety of gynecologic causes of pelvic pain in these women, including ovarian hemorrhage, ovarian torsion, pelvic inflammatory disease, endometriosis (particularly deeply infiltrating endometriosis), endometriomas, adenomyosis, pelvic congestion syndrome, and malpositioned intrauterine contraceptive devices. Sonographic observations regarding a number of non-gynecologic causes of pelvic pain are also described. Read More

J Ultrasound Med 2019 Mar 28. Epub 2019 Mar 28.

Faculty of Medicine, Department of Radiology, İstanbul Medeniyet University, Istanbul, Turkey.

Objectives: The aim of this study was to assess the feasibility of the novel "superb microvascular imaging" (SMI) Doppler ultrasound technique to detect ovarian vascularity in healthy children and to compare it with the conventional Doppler ultrasound techniques.

Methods: This prospective study included 140 girls, aged 3 to 18 years, for which an abdominal ultrasound study was requested in the pediatrics outpatient clinics for suspicion of nonovarian pathologies. Nineteen individuals were excluded from the study due to incomplete ultrasound scanning. Read More

J Pediatr Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of Pediatric Surgery and Urology, Lapeyronie Hospital, University Hospital of Montpellier and University of Montpellier, Montpellier, France; Rare Disease National Reference Center (Constitutive South) DEVGEN. Electronic address:

Introduction: To evaluate if torsion of an otherwise healthy ovary (THO) has a different prognosis than torsion with an underlying ovarian mass (TUOM) in children.

Material And Methods: Children with an ovarian torsion who were treated in our department from 1997 to 2016 were studied retrospectively. Patients with prenatal ovarian torsion and isolated oviduct torsion were excluded. Read More

J Obstet Gynaecol 2019 Mar 16:1-2. Epub 2019 Mar 16.

a Department of Obstetrics and Gynecology , American University of Beirut Medical Center , Beirut , Lebanon.

Cureus 2019 Jan 3;11(1):e3818. Epub 2019 Jan 3.

Obstetrics and Gynecology, East Tennessee State University, Quillen College of Medicine, Johnson City, USA.

Mucinous cystadenomas of the ovary are benign epithelial neoplasms that can grow rapidly during pregnancy. They may cause ovarian torsion, virilization, inferior vena cava syndrome, and even preterm labor and fetal growth restriction. Various theories exist regarding the pathogenesis of these tumors. Read More

J Pediatr Surg 2019 Feb 22. Epub 2019 Feb 22.

Vilnius University, Faculty of Medicine, Clinic of Gastroenterology, Nephrourology and Surgery, Vilnius, Lithuania; Children's Hospital, Affiliate of Vilnius University Hospital Santaros Klinikos, Department of Pediatric Surgery, Vilnius, Lithuania.

Background: The aim of this study was to evaluate the efficiency of the preservation of ovarian tissue in cases of ovarian torsion.

Materials And Methods: A retrospective study was performed of patients treated at our hospital for ovarian torsion from January 2007 to December 2017. This research does not include patients with antenatal ovarian torsion and 1 girl with an immature teratoma, in whom the twisted ovary was removed during the initial operation. Read More

Ann Endocrinol (Paris) 2019 Apr 7;80(2):122-127. Epub 2019 Feb 7.

Department of neurosurgery, hôpital La Timone, Assistance publique-Hôpitaux de Marseille (AP-HM), Marseille, France; Aix-Marseille université, institut national de la santé et de la recherche médicale (Inserm), U1251, Marseille medical genetics (MMG), Marseille, France.

The authors reported 2 cases of functioning gonadotroph pituitary adenoma (FGPA) revealed by an ovarian hyperstimulation syndrome (OHSS) in young women. In the first case, OHSS was observed after GnRH analog injection. Pelvic echography revealed multiple voluminous ovarian cysts. Read More

Pediatr Int 2019 Mar 2. Epub 2019 Mar 2.

Department of Pediatric Surgery, Istanbul Medeniyet University, Goztepe Training and Research Hospital, Istanbul, Turkey.

Background: Determination of ovarian reserve by serum anti-Müllerian hormone (AMH) levels in children who underwent either ovarian preserving surgery or oophorectomy because of ovarian torsion.

Methods: Patients operated on for unilateral ovarian torsion over ten years were contacted for the study with an ethical committee approval. Seventeen patients agreed to be included. Read More

Pol J Radiol 2018 18;83:e588-e599. Epub 2018 Dec 18.

Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Purpose: Ovarian torsion is the twisting of the ovary on its vascular pedicle resulting in vascular compromise. Diagnosis of ovarian torsion is challenging in patients who have atypical clinical or ultrasound (US) findings. The objective of our study was to demonstrate the magnetic resonance imaging (MRI) features of ovarian torsion to help radiologists make a conclusive diagnosis when the clinical and US findings are unclear. Read More

Urology 2019 Feb 20. Epub 2019 Feb 20.

Division of Pediatric Urology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA.

Juvenile granulosa cell tumors of the ovary are rare sex cord-stromal ovarian tumors that are typically diagnosed during the first 2 decades of life. Most patients present with precocious puberty in the early stages of disease. We present a rare case of asymptomatic uterine torsion from a 15-cm juvenile granulosa cell tumors in a 5-year-old girl with elevated inhibin B, breast development, vaginal bleeding, and a palpable right-sided abdominal mass. Read More

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

Division of General and Thoracic Surgery, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada. Electronic address:

Purpose: Prior studies of infant ovarian cysts have recommended intervention for those larger than 4 cm. We reviewed the natural history and features of those managed operatively versus nonoperatively.

Methods: A retrospective study was performed of ovarian lesions in children <1 year-old from 2000 to 2014. Read More

Int Braz J Urol 2019 Feb 15;45. Epub 2019 Feb 15.

Department of Urology, Akademi Meram Hospital Konya, Turkey.

Transvaginal oocyte retrieval is a crucial step in assisted reproductive technology. Various complications may arise during this procedure. Ureteral injury is a rare, but a serious complication in gynecological practice. Read More

J Ultrasound 2019 Feb 19. Epub 2019 Feb 19.

Department of Imaging, Bambino Gesù Children's Hospital Research Institute, P.za S.Onofrio 4, Via Torre di Palidoro, Palidoro, Rome, Italy.

Ultrasonography is the first-line imaging modality in the evaluation of the female pelvis in childhood and adolescence, because it is easy to perform, non-invasive and it does not require sedation. The transabdominal approach is preferred in children and adolescents, after filling the bladder to move away the bowel loops from the pelvis. The probe frequency must be adapted to age, thickness of tissues and depth of the structures under examination. Read More

Lancet Oncol 2019 Mar 5;20(3):448-458. Epub 2019 Feb 5.

Department of Development and Regeneration, KU Leuven, Leuven, Belgium; Department of Obstetrics and Gynecology, University Hospitals Leuven, Leuven, Belgium. Electronic address:

Background: Ovarian tumours are usually surgically removed because of the presumed risk of complications. Few large prospective studies on long-term follow-up of adnexal masses exist. We aimed to estimate the cumulative incidence of cyst complications and malignancy during the first 2 years of follow-up after adnexal masses have been classified as benign by use of ultrasonography. Read More

Medicine (Baltimore) 2019 Feb;98(5):e14321

Department of Obstetrics and Gynecology, The First Affiliated Hospital of Sun Yat-sen University.

There is no uniform standard to assess the viability of the ovary and choose conservative surgery or radical surgery for patients with adnexal torsion. This retrospective study aims to explore the characteristics of patients with adnexal torsion and the outcomes of different surgical procedures.A retrospective analysis of 174 cases diagnosed with adnexal torsion at our hospital between January 2005 and October 2014 was performed. Read More

Adv Clin Exp Med 2019 Mar;28(3):407-413

Department of Gynecology, Endocrinology and Gynecologic Oncology, Pomeranian Medical University, Szczecin, Poland.

An approach to ovarian endometrial cysts has changed considerably during recent years, especially in regard to treatment of recurrent endometriosis, fertility sparing and infertility management. Surgical treatment is the primary therapeutic option. The most efficient types of treatment are radical procedures involving adhesiolysis, removal of the cyst along with its capsule and any remaining endometriotic foci. Read More

Pediatr Radiol 2019 May 17;49(5):632-637. Epub 2019 Jan 17.

Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Background: Changes that occur in the remaining ovary after contralateral oophorectomy are not well described.

Objective: To determine average ovarian volume in pediatric patients after contralateral oophorectomy compared to age-matched controls with two normal ovaries.

Materials And Methods: We performed a retrospective review of ultrasound examinations and electronic medical records of patients ages 0-18 years who had unilateral oophorectomy from 2000 to 2017 (n=64). Read More

Emerg Radiol 2019 Apr 10;26(2):205-219. Epub 2019 Jan 10.

Department of Radiology, Henry Ford Hospital, Detroit, MI, USA.

Over the past 40 years since the first in vitro fertilization was performed, both the role of assisted reproductive technology (ART) in establishing viable pregnancy as well as the available treatment options have expanded enormously. Annually in the USA, nearly 2% of pregnancies now employ some form of ART assistance, with in vitro fertilization (IVF) being the most commonly utilized methodology. Both maternal and fetal risks are elevated in ART pregnancies, the latter including adverse outcome due to both increased gestational number as well as advanced maternal age. Read More

J Pak Med Assoc 2019 Jan;69(1):116-119

Department of Obstetrics and Gynecology, Izmir Ataturk Training and Research Hospital, Turkey.

Mature cystic teratoma (MCT) is the most common germ cell ovarian tumour, which accounts for 15-20% of all ovarian neoplasms. The frequency of MCT cases undergoing malignant transformation ranges from 0.17% to 2%. Read More

Radiol Case Rep 2019 Mar 11;14(3):324-327. Epub 2018 Dec 11.

Department of Radiology, Osaka Medical College, Osaka Prefecture, Takatsuki, Japan.

A 33-year-old woman, gravida two para one, at 31 weeks of gestational age experienced sudden onset of left lower quadrant pain and underwent unenhanced pelvic MRI. On fast imaging employing steady state precession (FIESTA) sequence images, a marked difference was observed in the diameters of the right and left ovarian veins. The right ovarian vein was torturous and dilated, measuring 35 mm in diameter, while the left ovarian vein was thin and linear, measuring 7 mm in diameter. Read More

Int J Gynecol Pathol 2018 Dec 19. Epub 2018 Dec 19.

Department of Anatomic Pathology Cleveland Clinic, Cleveland, Ohio.

Taiwan J Obstet Gynecol 2018 Dec;57(6):894-896

Department of Obstetrics and Gynecology, Tri-service General Hospital, National Defense Medical Center, Taipei, Taiwan. Electronic address:

Objective: Ovarian tumor is a frequently encountered gynecological disease. The tumor is usually anchored by a pedicle. In rare cases, it may detach and derive nourishment from other abdominal structures to which it adheres. Read More

Taiwan J Obstet Gynecol 2018 Dec;57(6):867-870

Department of Obstetrics and Gynecology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan; Department of Obstetrics and Gynecology, Hsin-Chu Br, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan. Electronic address:

Objective: Ureterocele in a duplex system is rare and commonly presented with urinary tract infection at neonatal age, infant or childhood. Symptomatic ureterocele in reproductive-age is a diagnostic challenge and should be highly awarded to avoid miss-diagnosis.

Case Report: An adolescent girl with right ectopic ureterocele presented as acute abdomen that mimicked ovarian torsion received emergent laparoscopic surgery. Read More

Taiwan J Obstet Gynecol 2018 Dec;57(6):836-841

Erciyes University Institute of Health Sciences, Department of Hystology and Embryology, Kayseri, Turkey.

Objective: It is aimed to evaluate the protective effect of bilberry on I/R injury in rat ovary.

Materials And Methods: A total 48 female Wistar-Albino rats were utilized to form five groups: Group 1 (control group) (n = 8), neither drug was given and nor procedure was performed. Group 2 (bilberry control group) (n = 10), single dose 200 mg/kg bilberry was administered by gavage and no procedure was performed. Read More

Curr Med Sci 2018 Dec 7;38(6):1032-1037. Epub 2018 Dec 7.

Reproductive Medicine Center, Renmin Hospital of Wuhan University, Wuhan, 430060, China.

The risk factors associated with strangulated ovarian hernia (SOH) in female patients (<1 year old) were identified. A retrospective analysis was conducted regarding the data from 2006 to 2017. The patients were divided into 2 groups: SOH group (n=9) and non-SOH group (n=23). Read More

PeerJ 2018 4;6:e5995. Epub 2018 Dec 4.

Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, Hualien, Taiwan, Taiwan.

Background: Adnexal torsion is a gynecologic emergency that requires surgical treatment. In this study, we reviewed the surgical outcomes of women with adnexal torsion in eastern Taiwan (Hualien county, area 4,629 km, 330,000 residents).

Methods: This retrospective study included 42 women diagnosed with surgically-proven adnexal torsion from January 1, 2010, to September 31, 2015. Read More

Endocrinol Diabetes Metab Case Rep 2018 11;2018. Epub 2018 Dec 11.

Southmead Hospital, North Bristol NHS Trust, Westbury-on-Trym, Bristol, UK.

Pituitary adenomas can be classified as functioning or non-functioning adenomas. Approximately 64% of clinically non-functioning pituitary adenomas are found to be gonadotroph adenomas on immunohistochemistry. There are reported cases of gonadotroph adenomas causing clinical symptoms, but this is unusual. Read More

Eur J Radiol 2018 Dec 27;109:196-202. Epub 2018 Aug 27.

Department of Ultrasound, Beijing Shijitan Hospital, Capital Medical University, Beijing, China. Electronic address:

Objectives: The whirlpool sign (WS) and plasma d-dimer are used as a sonographic marker and laboratory index for adnexal torsion (AT), respectively. The aim of this study was to evaluate whether their combination improved diagnostic efficiency of AT in patients presenting with a benign ovarian mass and abdominal pain and clinically suspected AT.

Materials And Methods: Fifty-four patients with clinically suspected AT with benign ovarian mass and abdominal pain were analyzed and divided into an AT group (n = 28) and control group (n = 26). Read More

Radiologe 2019 Feb;59(2):126-132

Universitätsinstitut für Radiologie, Universitätsklinikum der Paracelsus Medizinischen Privatuniversität, Müllner Hauptstraße 48, 5020, Salzburg, Österreich.

Background: Acute pelvic pain in women may be due to gynecological, gastrointestinal, and urinary tract disorders. Ectopic pregnancy (EP), pelvic inflammatory disease (PID), and ruptured ovarian cysts are the most common gynecological causes for acute pelvic pain and their diagnosis can be challenging.

Methods: Patient history, clinical examination, and blood tests as well as patient age and potential pregnancy status help to establish the correct diagnosis. Read More

Int J Gynecol Pathol 2018 Dec 3. Epub 2018 Dec 3.

Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.

Primary extrarenal Wilms tumor of the gynecologic tract is extremely rare with scattered case reports occurring in the ovary, uterine corpus and cervix. Only 9 cases of primary ovarian Wilms tumor have been reported to date. Here, we provide an extensive literature review and describe 2 patients with ovarian Wilms tumor: a 36-yr-old female (patient 1) and a 16-yr-old female (patient 2), both presenting with abdominal pain and suspected ovarian torsion. Read More

Pediatr Med Chir 2018 Dec 4;40(2). Epub 2018 Dec 4.

Pediatric Surgery Unit, Salesi Children Hospital, Ancona.

Isolated tubal torsion (ITT) is a rare cause of acute abdominal pain. Preoperative diagnosis is difficult because of a lack of specific signs. Surgery is recommended to preserve the integrity of the tube. Read More

Ned Tijdschr Geneeskd 2018 11 27;163. Epub 2018 Nov 27.

Rode Kruis Ziekenhuis, afd. Gynaecologie, Beverwijk.

A 23-year-old pregnant woman presented with acute right-sided abdominal pain and vomiting in the 21st week of gestation. An MRI scan showed an ovarian torsion and a dermoid cyst. On the same day, laproscopy was performed. Read More

Reprod Sci 2018 Nov 29:1933719118816839. Epub 2018 Nov 29.

2 Department of Physiology, Istanbul Bilim University School of Medicine, Istanbul, Turkey.

Granulocyte colony-stimulating factor (G-CSF) is a glycoprotein commonly used in the field of medicine to treat neutropenia. Granulocyte colony-stimulating factor has also crucial roles in ameliorating the ischemia/reperfusion (I/R) injury in particular tissues. In this study, we aimed to investigate the protective effect of G-CSF on ovarian damage in experimental ovarian I/R injury. Read More

Best Pract Res Clin Endocrinol Metab 2018 Nov 3. Epub 2018 Nov 3.

Centre for Reproductive Medicine, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, Brussels 1090, Belgium; Department of Obstetrics and Gynaecology, School of Medicine, University of Zagreb, Šalata 3, Zagreb 10000, Croatia. Electronic address:

Assisted reproductive technology (ART) has vastly improved over the last 40 years, from a frequently unsuccessful and complicated procedure requiring hospital admission and routine laparoscopy to a fairly simple outpatient technique with relatively high success rates. However, it is important to stress that ART is not without risk and medical complications may still occur. The incidence of most of these ART-related complications is associated with how women undergo ovarian stimulation. Read More

J Obstet Gynaecol Can 2018 Nov;40(11):e747-e787

Calgary, AB.

Objective: To improve the understanding of chronic pelvic pain (CPP) and to provide evidence-based guidelines of value to primary care health professionals, general obstetricians and gynaecologists, and those who specialize in chronic pain.

Burden Of Suffering: CPP is a common, debilitating condition affecting women. It accounts for substantial personal suffering and health care expenditure for interventions, including multiple consultations and medical and surgical therapies. Read More

J Obstet Gynaecol 2019 Apr 8;39(3):349-354. Epub 2018 Nov 8.

a Department of Gynaecology , Fernandez Hospital , Hyderabad , India.

This retrospective study aimed to evaluate the sonographic diagnosis and management strategy of symptomatic adnexal torsion at a teaching hospital in Hyderabad, India. All women with abdominal pain and preoperative or operative diagnosis of adnexal torsion from January 2011 to December 2015 were included. A total of 76 women with 78 episodes were included; 28 (36%) occurred during pregnancy. Read More

Case Rep Obstet Gynecol 2018 14;2018:2351809. Epub 2018 Oct 14.

Department of Obstetrics and Gynecology, Seirei Hamamatsu General Hospital, Japan.

A 30-year-old woman (gravida 0) visited our hospital with a complaint of right lower abdominal pain. Transvaginal ultrasonography revealed a 5-cm swollen right ovary, which was suspected to be a mature cystic teratoma. Pelvic examination revealed moderate pain. Read More

J Pediatr Adolesc Gynecol 2018 Oct 24. Epub 2018 Oct 24.

University of Michigan Department of Obstetrics and Gynecology.

Study Objective: To investigate characteristics that differentiate premenarchal girls with ovarian torsion (OT) from those without OT at the time of surgery.

Design: Retrospective chart review of 36 premenarchal girls who underwent 42 surgeries for either OT (n=33) or a non-torsed ovarian mass (n=9) from 2006-2017.

Setting: Large, tertiary care academic institution. Read More

J Obstet Gynaecol Res 2019 Feb 24;45(2):358-367. Epub 2018 Oct 24.

Department of Physiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.

Aim: Ovarian torsion is a rare but an important reason of acute lower abdominal pain in women and associated with serious morbidity and mortality, if not treated promptly. The aim of this study was to evaluate the effects of an antitumor necrosis factor-α antibody on ovarian torsion in a rat model of ischemia-reperfusion (I/R) injury.

Methods: Forty female Wistar Albino rats were used in the present study. Read More

J Med Imaging Radiat Oncol 2018 Oct;62 Suppl 1:106

Department of Radiology, Concord Repatriation General Hospital, Concord, New South Wales, Australia.

Rev Bras Ginecol Obstet 2018 Nov 11;40(11):726-730. Epub 2018 Oct 11.

Department of Obstetrics and Gynecology, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal.

Recurrent adnexal torsion is a rare gynecological emergency. We report a case of recurrent ipsilateral adnexal torsion in a woman with polycystic ovaries, previously submitted to a laparoscopic plication of the utero-ovarian ligament. Due to the recurrence after the plication of the utero-ovarian ligament, the authors performed a laparoscopic oophoropexy to the round ligament, which is an underreported procedure. Read More

Abdom Radiol (NY) 2019 Apr;44(4):1535-1553

Washington University in St. Louis, St. Louis, MO, USA.

There are numerous common and rare macroscopic fat-containing masses found in the abdomen and pelvis. These include benign masses, such as lipoleiomyoma, ovarian teratoma, mesenteric teratoma, and lipoma, as well as malignant masses, including liposarcoma and malignant transformation of benign entities. Any mass may become symptomatic due to the development of a complication which may range from ovarian torsion to intussusception to hemorrhage. Read More

Gynecol Minim Invasive Ther 2018 Jul-Sep;7(3):136-138. Epub 2018 Aug 23.

Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, Hualien, Taiwan.

Hydrosalpinx in reproductive-age women without sexual experience is uncommon and may be asymptomatic. Hydrosalpinx-induced torsion of the adnexa is a rare situation and requires prompt and accurate management. This report describes a 21-year-old female without history of sexual intercourse presented with right lower abdominal pain. Read More