L'esperienza che insegna
La torsione ovarica e tubarica in età pediatrica
Rotation of ovary and fallopian tube in paediatrics
Aldo Ravaglia1, Cristina Vassia2
1Pediatra di famiglia, Chivasso, Torino
2Pronto Soccorso Pediatrico, Ospedale Infantile “Regina Margherita”, Torino
Febbraio 2020 - pagg. 111 -116
Abstract
Adnexal torsion is a surgical emergency defined as the total or partial rotation of ovary,
fallopian tube or both around the vascular axis resulting in impaired blood flow with consequent
ischemic injury. Misdiagnosis or delay in treatment may lead to permanent sequelae
including necrotic damage of the ovary with effect on future reproductive potential,
peritonitis, and even death. Nowadays, conservative treatment is considered the gold
standard in order to preserve the ovarian function. Oophoropexy could be taken into consideration
in patients with risk of recurrent adnexal torsions, but currently there is not a
uniform consent in the surgical community. The paper presents an emblematic case.
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Corrispondenza: aldoravaglia@alice.it