The Management of an Ectopic Ovary in an Adolescent Patient with Gastroschisis
Gastroschisis is an abdominal wall defect through which the bowel herniates into the amniotic cavity. Surgical correction of gastroschisis is performed during infancy. Gynecologic concerns have not been described in this population as either an associated anomaly or complication of surgical repair....
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| Veröffentlicht in: | Journal of pediatric & adolescent gynecology 2018-10, Vol.31 (5), p.540-542 |
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| container_title | Journal of pediatric & adolescent gynecology |
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| creator | Edwards, Rachel McCagg, Jillian Chirico, Peter Yoost, Jennie |
| description | Gastroschisis is an abdominal wall defect through which the bowel herniates into the amniotic cavity. Surgical correction of gastroschisis is performed during infancy. Gynecologic concerns have not been described in this population as either an associated anomaly or complication of surgical repair.
A 15-year-old nulliparous female patient presented with abdominal pain with a history of gastroschisis requiring 4 surgeries in infancy. Computed tomography scan showed an ovary located in the right upper quadrant, which was concerning for torsion. She was taken for a laparotomy with right oophorectomy after conservative management had failed.
Long-term gynecologic outcomes of patients with gastroschisis are not well documented. Because gastroschisis patients are known to have abdominal pain later in life, this case shows that the differential diagnosis should include etiologies beyond the gastrointestinal tract. |
| doi_str_mv | 10.1016/j.jpag.2018.04.005 |
| format | Article |
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A 15-year-old nulliparous female patient presented with abdominal pain with a history of gastroschisis requiring 4 surgeries in infancy. Computed tomography scan showed an ovary located in the right upper quadrant, which was concerning for torsion. She was taken for a laparotomy with right oophorectomy after conservative management had failed.
Long-term gynecologic outcomes of patients with gastroschisis are not well documented. Because gastroschisis patients are known to have abdominal pain later in life, this case shows that the differential diagnosis should include etiologies beyond the gastrointestinal tract.</description><identifier>ISSN: 1083-3188</identifier><identifier>EISSN: 1873-4332</identifier><identifier>DOI: 10.1016/j.jpag.2018.04.005</identifier><identifier>PMID: 29730430</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abdominal pain ; Adolescent ; Choristoma - complications ; Choristoma - surgery ; Diagnosis, Differential ; Female ; Gastroschisis ; Gastroschisis - complications ; Gastroschisis - surgery ; Humans ; Infant, Newborn ; Laparotomy - methods ; Ovarian cyst ; Ovariectomy - methods ; Ovary - surgery ; Tomography, X-Ray Computed</subject><ispartof>Journal of pediatric & adolescent gynecology, 2018-10, Vol.31 (5), p.540-542</ispartof><rights>2018 North American Society for Pediatric and Adolescent Gynecology</rights><rights>Copyright © 2018 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-937b5deb1e592523b54ea717b3fff262bc47b2e3d6aa8d521971a98a5980d4e3</citedby><cites>FETCH-LOGICAL-c356t-937b5deb1e592523b54ea717b3fff262bc47b2e3d6aa8d521971a98a5980d4e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1083318818302080$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29730430$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Edwards, Rachel</creatorcontrib><creatorcontrib>McCagg, Jillian</creatorcontrib><creatorcontrib>Chirico, Peter</creatorcontrib><creatorcontrib>Yoost, Jennie</creatorcontrib><title>The Management of an Ectopic Ovary in an Adolescent Patient with Gastroschisis</title><title>Journal of pediatric & adolescent gynecology</title><addtitle>J Pediatr Adolesc Gynecol</addtitle><description>Gastroschisis is an abdominal wall defect through which the bowel herniates into the amniotic cavity. Surgical correction of gastroschisis is performed during infancy. Gynecologic concerns have not been described in this population as either an associated anomaly or complication of surgical repair.
A 15-year-old nulliparous female patient presented with abdominal pain with a history of gastroschisis requiring 4 surgeries in infancy. Computed tomography scan showed an ovary located in the right upper quadrant, which was concerning for torsion. She was taken for a laparotomy with right oophorectomy after conservative management had failed.
Long-term gynecologic outcomes of patients with gastroschisis are not well documented. Because gastroschisis patients are known to have abdominal pain later in life, this case shows that the differential diagnosis should include etiologies beyond the gastrointestinal tract.</description><subject>Abdominal pain</subject><subject>Adolescent</subject><subject>Choristoma - complications</subject><subject>Choristoma - surgery</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Gastroschisis</subject><subject>Gastroschisis - complications</subject><subject>Gastroschisis - surgery</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Laparotomy - methods</subject><subject>Ovarian cyst</subject><subject>Ovariectomy - methods</subject><subject>Ovary - surgery</subject><subject>Tomography, X-Ray Computed</subject><issn>1083-3188</issn><issn>1873-4332</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFOwzAMhiMEYjB4AQ6oRy4tTtI0qcRlmsZAGozD7lGaulumrR1NN8Tbk2qDIydb1udf9kfIHYWEAs0e18l6Z5YJA6oSSBMAcUauqJI8Tjln56EHxWNOlRqQa-_XACBFpi7JgOWSQ8rhirwvVhi9mdoscYt1FzVVZOpoYrtm52w0P5j2O3J1PxuVzQa97aEP07m-frluFU2N79rG25Xzzt-Qi8psPN6e6pAsnieL8Us8m09fx6NZbLnIujjnshAlFhRFzgTjhUjRSCoLXlUVy1hhU1kw5GVmjCoFo7mkJldG5ArKFPmQPBxjd23zuUff6a0Lp202psZm7zUDLiQomrOAsiNqw5G-xUrvWrcNb2kKuteo17rXqHuNGlIdNIal-1P-vthi-bfy6y0AT0cAw5MHh632NiixWLoWbafLxv2X_wPnpYL_</recordid><startdate>201810</startdate><enddate>201810</enddate><creator>Edwards, Rachel</creator><creator>McCagg, Jillian</creator><creator>Chirico, Peter</creator><creator>Yoost, Jennie</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201810</creationdate><title>The Management of an Ectopic Ovary in an Adolescent Patient with Gastroschisis</title><author>Edwards, Rachel ; McCagg, Jillian ; Chirico, Peter ; Yoost, Jennie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-937b5deb1e592523b54ea717b3fff262bc47b2e3d6aa8d521971a98a5980d4e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Abdominal pain</topic><topic>Adolescent</topic><topic>Choristoma - complications</topic><topic>Choristoma - surgery</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Gastroschisis</topic><topic>Gastroschisis - complications</topic><topic>Gastroschisis - surgery</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Laparotomy - methods</topic><topic>Ovarian cyst</topic><topic>Ovariectomy - methods</topic><topic>Ovary - surgery</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Edwards, Rachel</creatorcontrib><creatorcontrib>McCagg, Jillian</creatorcontrib><creatorcontrib>Chirico, Peter</creatorcontrib><creatorcontrib>Yoost, Jennie</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric & adolescent gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Edwards, Rachel</au><au>McCagg, Jillian</au><au>Chirico, Peter</au><au>Yoost, Jennie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Management of an Ectopic Ovary in an Adolescent Patient with Gastroschisis</atitle><jtitle>Journal of pediatric & adolescent gynecology</jtitle><addtitle>J Pediatr Adolesc Gynecol</addtitle><date>2018-10</date><risdate>2018</risdate><volume>31</volume><issue>5</issue><spage>540</spage><epage>542</epage><pages>540-542</pages><issn>1083-3188</issn><eissn>1873-4332</eissn><abstract>Gastroschisis is an abdominal wall defect through which the bowel herniates into the amniotic cavity. Surgical correction of gastroschisis is performed during infancy. Gynecologic concerns have not been described in this population as either an associated anomaly or complication of surgical repair.
A 15-year-old nulliparous female patient presented with abdominal pain with a history of gastroschisis requiring 4 surgeries in infancy. Computed tomography scan showed an ovary located in the right upper quadrant, which was concerning for torsion. She was taken for a laparotomy with right oophorectomy after conservative management had failed.
Long-term gynecologic outcomes of patients with gastroschisis are not well documented. Because gastroschisis patients are known to have abdominal pain later in life, this case shows that the differential diagnosis should include etiologies beyond the gastrointestinal tract.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29730430</pmid><doi>10.1016/j.jpag.2018.04.005</doi><tpages>3</tpages></addata></record> |
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| ispartof | Journal of pediatric & adolescent gynecology, 2018-10, Vol.31 (5), p.540-542 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Abdominal pain Adolescent Choristoma - complications Choristoma - surgery Diagnosis, Differential Female Gastroschisis Gastroschisis - complications Gastroschisis - surgery Humans Infant, Newborn Laparotomy - methods Ovarian cyst Ovariectomy - methods Ovary - surgery Tomography, X-Ray Computed |
| title | The Management of an Ectopic Ovary in an Adolescent Patient with Gastroschisis |
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