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
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