小児付属器茎捻転に対し腹腔鏡手術を施行した1例

抄録

  Ovarian torsion in pediatric patients is rare. We had a case of left ovarian torsion in a 10-year-old girl who underwent laparoscopic left salpingo-oophorectomy because the ovary looked necrotic. The pathological diagnosis was mature cystic teratoma with extensive bleeding and absence of viable ovarian tissue on microscopic inspection. The symptom was nonspecific, considering that acute lower abdominal pain in most infants is caused by digestive diseases. Thus, differential diagnosis would have been difficult if ovarian torsion had not been considered at the initial diagnosis. Gynecological disorders should be considered in cases of acute stomach symptom in girls. In addition, infants and adults have anatomical differences, and the anatomical knowledge of the infant pelvis is necessary when performing surgeries.