Recurrent Ovarian Torsion Despite Previous Oophoropexy in a 9-Year-Old Prepubertal Girl: A Pediatric Emergency Department Perspective.
Faisal J Alqahtani
✦ AI-curated · Sources linked
Case in brief
A 9-year-old prepubertal girl with prior left ovarian torsion treated by laparoscopic detorsion and oophoropexy presented with severe intermittent left-sided abdominal pain and vomiting. She was stable and had no peritoneal signs. Ultrasound showed an enlarged left ovary with diminished vascularity but faint Doppler flow. Urgent laparoscopy confirmed recurrent torsion of approximately 360°; the ovary was viable, with no cyst or adnexal mass. Detorsion and utero-ovarian ligament plication preserved the ovary. At 8-week follow-up, ultrasound showed normalized ovarian size and no adnexal lesion or pelvic free fluid.
What made this case unusual
Torsion recurred despite previous oophoropexy, and faint Doppler flow remained detectable despite surgically confirmed torsion.
Diagnostic / clinical pearl
Residual Doppler flow does not exclude ovarian torsion; persistent clinical suspicion warrants prompt surgical evaluation.