Email this article 
Clinical observation: Torsion of the uterine appendages in a 3-year-old girl under the "mask" of acute appendicitis.
- Authors: Lukyanova K.K1,2, Okuneva A.I.1, Labzina M.V1,2, Okunev N.A.1, Kirichenko D.G1
-
Affiliations:
- National Research Mordovian State University
- GUBZ of the Republic of Mordovia DRKB
- Section: CASE REPORTS
- Submitted: 23.02.2025
- Accepted: 09.06.2025
- Published: 09.06.2025
- URL: https://jps-nmp.ru/jour/article/view/853
- DOI: https://doi.org/10.17816/ps853
- ID: 853
Cite item
Open Access
Access granted
Abstract
Torsion of the uterine appendages in preschool-age girls is rare, and diagnosis is difficult due to the poorly defined clinic. This clinical review presents a case of a 3-year-old girl being treated at the Children's Republican Clinical Hospital (DRKB) in Saransk for a long diagnostic path, hampered not only by a non-specific clinic for torsion, but also by inflammation of the appendix.
Full Text
About the authors
Ksenia K Lukyanova
National Research Mordovian State University; GUBZ of the Republic of Mordovia DRKB
Author for correspondence.
Email: ksusha22_07_99@icloud.com
ORCID iD: 0000-0001-5902-0370
intern, resident of the specialty "Obstetrics and Gynecology
РоссияAleksandra I. Okuneva
National Research Mordovian State University
Email: toropkinaokuneva@yandex.ru
ORCID iD: 0000-0002-7182-2197
SPIN-code: 9726-0748
MD, Cand. Sci. (Medicine)
Россия, SaranskMargarita V Labzina
National Research Mordovian State University; GUBZ of the Republic of Mordovia DRKB
Email: ludmilamedin@yandex.ru
ORCID iD: 0000-0003-3698-8439
SPIN-code: 5015-6082
MD, Cand. Sci. (Medicine)
РоссияN. A. Okunev
National Research Mordovian State University
Email: nicolai.okunev@yandex.ru
ORCID iD: 0000-0001-8786-6998
Россия, 430000 Saransk
Daria G Kirichenko
National Research Mordovian State University
Email: darya.kirichenko.00@inbox.ru
Medical student
References
- Serova V.N., Sukhov G.T. Obstetrics and gynecology: clinical recommendations. Ed. Serova V.N., Sukhov G.T. 4th ed., revised and additional M.: GEOTAR-Media, 2014. 880 p.
- Sengupta S.K., Everett V.J. Ovarian neoplasms in children and adolescents in Papua New Guinea // Aust. NZ J. Obstet. Gynaecol., 1987; 27:335-338.
- Nestor M., Shust M.D., David K., Hendricksen M.D. Ovarian Torsion: An Unusual Cause of Abdominal Pain in a Young Girl // Am. J. Emerg. Med., 1995; 13:307-309.
- Elgina S.I., Nikulina E.N. Forecasting a decrease in ovarian reserve in adolescent girls //Mother and Child in Kuzbass. 2020. No. 1. pp. 23-31
- E.E. Korchagina, T.A. Anikina, E.P. Gevorgyan, O.A. Rudeeva, V.A. Novikova. Torsion of the uterine appendages during pregnancy of 8 weeks . Kuban Scientific Medical Bulletin. – 2017; (4):191-194.
- Petlakh V.I., Konovalov A.K., Konstantinova I.P., and others. Diagnosis and treatment of gynecological diseases in the practice of a pediatric surgeon // Doctor. — 2012. — N ° 1. — pp. 3-7.
- Adamyan L.V., Bogdanova E.A., Glybina T.M., Sibirskaya E.V. Abdominal syndrome in children and adolescents due to gynecological pathology. Diagnostic and treatment errors // Obstetrics and gynecology. — 2012. N ° 2. - C. 96-101.
- Huttel T.E.V., Buck G.S., Larsen S.B., Lokkegaard Ellen S.L. Recurrence of ovarian torsion // Obstetrics and gynecology: News. Opinions. Training. 2015. №4
- Bulanov, Mikhail Nikolaevich Ultrasound diagnostics in gynecology: A guide for doctors / M.N. Bulanov. Moscow: Vidar-M Publishing House, 2022, 712 p., ill. ISBN 978-5-88429-275-8
- Nair, S./ Five Year Retrospective Case Series of Adnexal Torsio / S. Nair, S. Joy, J. Nayar //J Clin Diagn Res. – 2014 Dec; 8 (12): OC09–OC13. / doi: 10.7860/JCDR/2014/9464.5251.
- Adamyan L.V., Dyakonova E.Yu., Sibirskaya E.V., Poddubny I.V., Glybina T.M., Gafarova D.A., Bekin A.S. Surgical tactics for torsion of uterine appendages in children //Reproductive health of children and adolescents. 2014. No. 4. pp. 35-41)
- Karayalçin R, Ozcan 5, Ozyer 5, et al. Conservative laparoscopie management of adnexal torsion. L Tirkish German Gynecol. Assoc. 2011:12(1):4-8.
- Orlova K.V. Diagnosis of ovarian torsion with hidden clinical symptoms on the example of a clinical case. MRT-Expert-Z LLC, Zelenograd url:https://univerexpert.ru/upload/pdf/Оrlova_4.pdf
- Okunev Nikolay Alexandrovich, Okuneva Alexandra Ivanovna, Begoulova Elena Gennadyevna, Kuptsova Svetlana Viktorovna, Kotelnikova Anna Vladimirovna, Podshivalova Irina Alexandrovna. Torsion of the uterine appendages in children // Russian Bulletin of Pediatric Surgery, Anesthesiology and Intensive Care. 2020. No. 1.
- Sibirskaya E.V., Karachentsova I.V., Minazhetdinova A.R., Chernysheva M.Yu., Khairullina A.A. Prenatal and postnatal diagnosis of intrauterine ovarian cyst torsion. Issues of modern pediatrics. 2023;22(3):241-245.
Supplementary files
