Oophoropexy, hyperbaric oxygen therapy, and contrast-enhanced ultrasound after asynchronous bilateral ovarian torsion

被引:16
作者
Svensson, Jan F. [1 ]
Larsson, Agneta [2 ]
Uusijarvi, Johan [2 ]
von Sivers, Karin [3 ]
Kaiser, Sylvie [4 ]
机构
[1] Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, Dept Pediat Surg, Solna, Sweden
[2] Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, Dept Anesthesiol & Intens Care ANOPIVA, Div Hyperbar Med, Solna, Sweden
[3] Karolinska Univ Hosp, Astrid Lindgren Childrens, Dept Radiol, Solna, Sweden
[4] Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, Dept Pediat Radiol, Solna, Sweden
关键词
ovarian torsion; laparoscopy; CEUS; hyperbaric oxygen;
D O I
10.1016/j.jpedsurg.2008.02.024
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
A girl with asynchronous, bilateral ovarian torsion with previous oophorectomy presented with her second torsion. A laparoscopic untwisting of the torsed ovary wag performed, treatment with hyperbaric oxygen therapy was given, and the outcome was followed with contrast-enhanced ultrasound. After 1 month, a laparoscopic oophoropexy was performed. The detorsed ovary regained its circulation and decreased in size. It looked normal at the time for oophopexy and at follow-up. This. case supports the evidence of an ovarian-sparing approach to ovarian torsion in children and supports oophoropexy after torsion of a detorsed, otherwise normal ovary in the premenarcheal girl. (C) 2008 Published by Elsevier Inc.
引用
收藏
页码:1380 / 1384
页数:5
相关论文
共 15 条
[1]   Guidelines for the use of contrast agents in ultrasound [J].
Albrecht, T ;
Blomley, M ;
Bolondi, L ;
Claudon, M ;
Correas, JM ;
Cosgrove, D ;
Greiner, L ;
Jäger, K ;
de Jong, N ;
Leen, E ;
Lencioni, R ;
Lindsell, D ;
Martegani, A ;
Solbiati, L ;
Thorelius, L ;
Tranquart, F ;
Weskott, HP ;
Whittingham, T .
ULTRASCHALL IN DER MEDIZIN, 2004, 25 (04) :249-256
[2]   Urgency of evaluation and outcome of acute ovarian torsion in pediatric patients [J].
Anders, JF ;
Powell, EC .
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 2005, 159 (06) :532-535
[3]  
BARTLETT N, 2005, ANZ J SURG, V75, pA139
[4]   Adnexal torsion: a report on forty-five cases [J].
Descargues, G ;
Tinlot-Mauger, F ;
Gravier, A ;
Lemoine, JP ;
Marpeau, L .
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2001, 98 (01) :91-96
[5]   TORSION OF NORMAL UTERINE ADNEXA IN PRE-MENARCHAL GIRLS [J].
EVANS, JP .
JOURNAL OF PEDIATRIC SURGERY, 1978, 13 (02) :195-196
[6]   US of the pediatric female pelvis: A clinical perspective [J].
Garel, L ;
Dubois, J ;
Grignon, A ;
Filiatrault, D ;
Van Vliet, G .
RADIOGRAPHICS, 2001, 21 (06) :1393-1407
[7]   Reperfusion injury after detorsion of unilateral ovarian torsion in rabbits [J].
Kaleli, B ;
Aktan, E ;
Gezer, S ;
Kirkali, G .
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2003, 110 (01) :99-101
[8]   Effect of hyperbaric oxygen therapy on testicular ischemia-reperfusion injury [J].
Kolski, JM ;
Mazolewski, PJ ;
Stephenson, LL ;
Texter, J ;
Grigoriev, VE ;
Zamboni, WA .
JOURNAL OF UROLOGY, 1998, 160 (02) :601-604
[9]   Oophoropexy to prevent sequential or recurrent torsion [J].
Nagel, TC ;
Sebastian, J ;
Malo, JW .
JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS, 1997, 4 (04) :495-498
[10]   Hyperbaric oxygen preconditioning induces tolerance against spinal cord ischemia by upregulation of antioxidant enzymes in rabbits [J].
Nie, Huang ;
Xiong, Lize ;
Lao, Ning ;
Chen, Shaoyang ;
Xu, Ning ;
Zhu, Zhenghua .
JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 2006, 26 (05) :666-674