Young girls presenting with Torsion of Ovarian Cysts! Dilemma in conserving the reproductive organs

Abstract

Adnexal torsion is a Gynaecological emergency which would lead to removal of the ovary with its Fallopian tube which is significant especially in young girls. Untwisting or de-torsion is found to be safe however late presentation and delay in definitive treatment is still becoming a dilemma despite adequate facilities. Two cases of adnexal torsion are being analyzed and the pathetic situation of a young child ended up in salpingo oophorectomy is presented. It is concluded that Delays in obtaining the definitive therapy should be minimized; if possible avoided, by instituting a good deed of clinical awareness by the care providers, the use of imaging and the prompt involvement of Gynaecological team in the Emergency Unit shall be made mandatory. Delays in the cases with adnexal torsion would be avoided by all means in order to conserve the reproductive organs for their normal functions.