Adnexal torsion with paraovarian cysts in pediatric and adolescent populations: A retrospective study.
Adolescent and pediatric
Laparoscopy
Paraovarian cyst
Torsion
Journal
Journal of pediatric surgery
ISSN: 1531-5037
Titre abrégé: J Pediatr Surg
Pays: United States
ID NLM: 0052631
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
04
02
2020
revised:
05
05
2020
accepted:
19
05
2020
pubmed:
24
6
2020
medline:
25
6
2021
entrez:
24
6
2020
Statut:
ppublish
Résumé
Determination of the clinical characteristics associated with adnexal torsion involving paraovarian cysts in pediatric and adolescent populations. Retrospective review of all cases of paraovarian cysts operated on in our department between 2007 and 2019. Demographic characteristics, clinical and sonographic findings were reviewed. The cohort was composed of 39 pediatric and adolescent patients with an operative diagnosis of adnexal masses located in the paraovarian area. The patients were classified into two groups: 19 girls (48.7%) with a confirmed operative diagnosis of adnexal torsion and 20 girls (51.3%) without torsion. The preoperative diagnosis of adnexal torsion was correct in ≈70% of the cases. The mean BMI were similar in both groups. The preoperative sonographic detection rate of paraovarian cysts was also similar (11/19 [57.9%] vs. 14/20 [70.0%]; P = 0.514). The mean cyst diameter did not differ between groups, nor did the classification into cyst size groups (≤50 mm, 51-99 mm and ≥100 mm). Adnexal torsion is a common complication diagnosed in girls undergoing surgery for paraovarian cysts, and is not associated with sonographic appearance or cyst diameter. In order to prevent torsion, surgical removal of paraovarian cysts should thus be considered in young girls undergoing surgery for paraovarian cysts. Retrospective case series. IV.
Sections du résumé
BACKGROUND
BACKGROUND
Determination of the clinical characteristics associated with adnexal torsion involving paraovarian cysts in pediatric and adolescent populations.
METHODS
METHODS
Retrospective review of all cases of paraovarian cysts operated on in our department between 2007 and 2019. Demographic characteristics, clinical and sonographic findings were reviewed.
RESULTS
RESULTS
The cohort was composed of 39 pediatric and adolescent patients with an operative diagnosis of adnexal masses located in the paraovarian area. The patients were classified into two groups: 19 girls (48.7%) with a confirmed operative diagnosis of adnexal torsion and 20 girls (51.3%) without torsion. The preoperative diagnosis of adnexal torsion was correct in ≈70% of the cases. The mean BMI were similar in both groups. The preoperative sonographic detection rate of paraovarian cysts was also similar (11/19 [57.9%] vs. 14/20 [70.0%]; P = 0.514). The mean cyst diameter did not differ between groups, nor did the classification into cyst size groups (≤50 mm, 51-99 mm and ≥100 mm).
CONCLUSION
CONCLUSIONS
Adnexal torsion is a common complication diagnosed in girls undergoing surgery for paraovarian cysts, and is not associated with sonographic appearance or cyst diameter. In order to prevent torsion, surgical removal of paraovarian cysts should thus be considered in young girls undergoing surgery for paraovarian cysts.
TYPE OF STUDY
METHODS
Retrospective case series.
LEVEL OF EVIDENCE
METHODS
IV.
Identifiants
pubmed: 32571539
pii: S0022-3468(20)30354-7
doi: 10.1016/j.jpedsurg.2020.05.023
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
324-327Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.