Abstract
A-12-year-old girl who complained of right lower abdominal pain with suspicion of acute appendicitis was referred to us. Lower abdominal tenderness with muscular defense was observed without any fever. Ultrasonography indicated a 50-mm diameter unhomogenous mass surrounded with fluid on the right side of the bladder. CT scan showed an enhanced tumor in the pelvis. Because ovarian torsion could not be ruled out, laparoscopic surgery was performed. Laparoscopic examination revealed that the right ovary had split into two portions with massive hematoma around the ovary. These findings were diagnosed as ovarian hemorrhage. The split of the ovary was then sutured. The postoperative course was uneventful, and she was discharged on postoperative day 5.
Although ovarian hemorrhage is common in adult women, it is greatly rare in pediatric patients. Without knowledge of the present clinical state, it may be difficult to diagnose appropriately. Laparoscopic examination was useful for both the diagnosis and the treatment.
