Adnexal torsion due to teratoma in a young adolescent.
Sibi Anpalagan, Tonje Lisa Skjerpan Nordahl, Teroy Anjalo Gabriel et al.
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Case in brief
A teenage girl presented with lower abdominal pain and a palpable mass, alongside a history of chronic constipation. Initial ultrasound suggested an extragenital mass, leading to a focus on faecal impaction. However, CT imaging later indicated a right adnexal mass with suspected torsion. Laparoscopic detorsion and cyst excision were performed, successfully preserving the ovary and resulting in an uneventful recovery.
Diagnostic / clinical pearl
Clinicians should consider adnexal torsion in adolescents presenting with abdominal pain and a palpable mass, even when initial imaging suggests an extragenital cause.
Why it matters
This case highlights the importance of thorough diagnostic evaluation in young patients, as non-specific symptoms can lead to misinterpretation and delayed treatment.