Background

Determination of the clinical characteristics associated with adnexal torsion involving paraovarian cysts in pediatric and adolescent populations.

Methods

Retrospective review of all cases of paraovarian cysts operated on in our department between 2007 and 2019. Demographic characteristics, clinical and sonographic findings were reviewed.

Results

The cohort was composed of 39 pediatric and adolescent patients with an operative diagnosis of adnexal masses located in the paraovarian area. The patients were classified into two groups: 19 girls (48.7%) with a confirmed operative diagnosis of adnexal torsion and 20 girls (51.3%) without torsion. The preoperative diagnosis of adnexal torsion was correct in ≈ 70% of the cases. The mean BMI were similar in both groups. The preoperative sonographic detection rate of paraovarian cysts was also similar (11/19 [57.9%] vs. 14/20 [70.0%]; P = 0.514). The mean cyst diameter did not differ between groups, nor did the classification into cyst size groups (≤ 50 mm, 51–99 mm and ≥ 100 mm).

Conclusion

Adnexal torsion is a common complication diagnosed in girls undergoing surgery for paraovarian cysts, and is not associated with sonographic appearance or cyst diameter. In order to prevent torsion, surgical removal of paraovarian cysts should thus be considered in young girls undergoing surgery for paraovarian cysts.

Type of study

Retrospective case series.

Level of evidence

IV

中文翻译：

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儿科和青少年人群伴有卵巢旁囊肿的肾上腺扭转：一项回顾性研究

背景

在儿童和青少年人群中确定涉及涉及卵巢旁囊肿的附件扭转的临床特征。

方法

回顾性分析我科2007年至2019年间手术的所有卵巢旁囊肿病例。回顾了人口统计学特征，临床和超声检查结果。

结果

该队列由39例小儿和青少年患者组成，其手术诊断为卵巢旁区域的附件包块。将患者分为两组：19例确诊为附件扭转的女童（48.7％）和20例无扭转的女童（51.3％）。约 70％的病例术前对附件扭转的诊断是正确的。两组的平均BMI相似。卵巢旁囊肿的术前超声检查检出率也相似（11/19 [57.9％] vs. 14/20 [70.0％]； P = 0.514）。各组的平均囊肿直径无差异，囊肿大小组（≤50  mm，51–99 mm和≥100  mm）也没有区别。

结论

肾上腺扭转是在接受卵巢旁囊肿手术的女孩中诊断出的常见并发症，与超声表现或囊肿直径无关。为了防止扭转，因此应在接受卵巢旁囊肿手术的年轻女孩中考虑手术去除卵巢旁囊肿。

学习类型

回顾案例系列。

证据水平

IV