Management of Ovarian Tumors and Adnexal Torsion in Children; How to Save?

Abstract Background/Aims: Although rare, torsion and malignancy of the uterine adnexa, are a common concern of differential diagnosis while dealing with abdominal pain in girls Methods:Forty-seven patients who were operated for adnexal torsion or ovarian tumor between March 2004 and December 2010 are enrolled in the study. Results:Twenty one patients had torsion of the uterine adnexa, 18 had ovarian tumors and 8 had an ovarian tumor with torsion. The rate of radical surgery was 47% in torsion which was elevated to 72% in tumor and 100% in tumors with torsion. In ovarian torsion, the rate of radical surgery and adnexal sparing were not different between early versus late presenting cases. Conclusions: Despite encouraging data in the literature favor ovarian sparing, radical surgery still seems to remain high in girls with adnexal torsion and tumors. Ovarian sparing seems possible in tumors but further studies are needed to determine the best management strategy