Adnexal torsion following gonadotropin-releasing hormone analog therapy: a case report
Adnexal torsion may occur in girls and adolescents. Often it is associated with ovarian diseases resulting in ovarian enlargement. Adnexal torsion may involve the ovary, fallopian tube or both, and the main symptom is acute pelvic pain. An 8-year-old girl complaining of acute pelvic and abdominal pa...
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| Veröffentlicht in: | Revista do Hospital das Clinicás 2004, Vol.59 (3), p.128-130 |
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| creator | Carvalho, Jesus Paula Diegoli, Mara Solange Carvalho, Filomena Marino Diegoli, Carlos Alberto |
| description | Adnexal torsion may occur in girls and adolescents. Often it is associated with ovarian diseases resulting in ovarian enlargement. Adnexal torsion may involve the ovary, fallopian tube or both, and the main symptom is acute pelvic pain. An 8-year-old girl complaining of acute pelvic and abdominal pain, who was previously diagnosed with precocious puberty and who received treatment with a GnRH analog, is reported. Ultrasound demonstrated a normal-sized uterus and bilaterally enlarged ovaries with multiple internal cysts. At laparotomy, we found a complete torsion in the right adnexa. The histological examination revealed massive edema associated with multiple antral follicles and reduction of the follicular reserve. |
| doi_str_mv | 10.1590/S0041-87812004000300006 |
| format | Article |
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Often it is associated with ovarian diseases resulting in ovarian enlargement. Adnexal torsion may involve the ovary, fallopian tube or both, and the main symptom is acute pelvic pain. An 8-year-old girl complaining of acute pelvic and abdominal pain, who was previously diagnosed with precocious puberty and who received treatment with a GnRH analog, is reported. Ultrasound demonstrated a normal-sized uterus and bilaterally enlarged ovaries with multiple internal cysts. At laparotomy, we found a complete torsion in the right adnexa. The histological examination revealed massive edema associated with multiple antral follicles and reduction of the follicular reserve.</description><identifier>ISSN: 0041-8781</identifier><identifier>ISSN: 1678-9903</identifier><identifier>EISSN: 0041-8781</identifier><identifier>DOI: 10.1590/S0041-87812004000300006</identifier><identifier>PMID: 15286832</identifier><language>eng</language><publisher>Brazil: Faculdade de Medicina / Universidade de São Paulo - FM/USP</publisher><subject>Adnexal Diseases - chemically induced ; Adnexal Diseases - pathology ; Adnexal Diseases - surgery ; Child ; Female ; Fertility Agents, Female - adverse effects ; Fertility Agents, Female - therapeutic use ; Fibrous Dysplasia, Polyostotic - complications ; Fibrous Dysplasia, Polyostotic - diagnosis ; Humans ; Leuprolide - adverse effects ; Leuprolide - therapeutic use ; MEDICINE, GENERAL & INTERNAL ; Puberty, Precocious - drug therapy ; Torsion Abnormality - chemically induced ; Torsion Abnormality - pathology ; Torsion Abnormality - surgery</subject><ispartof>Revista do Hospital das Clinicás, 2004, Vol.59 (3), p.128-130</ispartof><rights>This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2606-c413e4f6adf044d1b3d71ac6e38b23ece9c936c210f5b7d6105719e856d9a0633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15286832$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carvalho, Jesus Paula</creatorcontrib><creatorcontrib>Diegoli, Mara Solange</creatorcontrib><creatorcontrib>Carvalho, Filomena Marino</creatorcontrib><creatorcontrib>Diegoli, Carlos Alberto</creatorcontrib><title>Adnexal torsion following gonadotropin-releasing hormone analog therapy: a case report</title><title>Revista do Hospital das Clinicás</title><addtitle>Rev Hosp Clin Fac Med Sao Paulo</addtitle><description>Adnexal torsion may occur in girls and adolescents. Often it is associated with ovarian diseases resulting in ovarian enlargement. Adnexal torsion may involve the ovary, fallopian tube or both, and the main symptom is acute pelvic pain. An 8-year-old girl complaining of acute pelvic and abdominal pain, who was previously diagnosed with precocious puberty and who received treatment with a GnRH analog, is reported. Ultrasound demonstrated a normal-sized uterus and bilaterally enlarged ovaries with multiple internal cysts. At laparotomy, we found a complete torsion in the right adnexa. The histological examination revealed massive edema associated with multiple antral follicles and reduction of the follicular reserve.</description><subject>Adnexal Diseases - chemically induced</subject><subject>Adnexal Diseases - pathology</subject><subject>Adnexal Diseases - surgery</subject><subject>Child</subject><subject>Female</subject><subject>Fertility Agents, Female - adverse effects</subject><subject>Fertility Agents, Female - therapeutic use</subject><subject>Fibrous Dysplasia, Polyostotic - complications</subject><subject>Fibrous Dysplasia, Polyostotic - diagnosis</subject><subject>Humans</subject><subject>Leuprolide - adverse effects</subject><subject>Leuprolide - therapeutic use</subject><subject>MEDICINE, GENERAL & INTERNAL</subject><subject>Puberty, Precocious - drug therapy</subject><subject>Torsion Abnormality - chemically induced</subject><subject>Torsion Abnormality - pathology</subject><subject>Torsion Abnormality - surgery</subject><issn>0041-8781</issn><issn>1678-9903</issn><issn>0041-8781</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kG1LwzAQx4Mobk6_guYLdF6SNm19N4ZPMPCFD29Lmly3ji4pSYfu29vZoYLgi-P-3PE7jh8hVwymLMnh-hkgZlGWZoz3CQBEXyCPyPh7cfwrj8hZCGsAnjOAUzJiCc9kJviYvM2MxQ_V0M75UDtLK9c07r22S7p0VhnXedfWNvLYoAr78cr5jbNIlVWNW9JuhV61uxuqqFYBqcfW-e6cnFSqCXhx6BPyenf7Mn-IFk_3j_PZItJcgox0zATGlVSmgjg2rBQmZUpLFFnJBWrMdS6k5gyqpEyNZJCkLMcskSZXIIWYkOlwN-gaG1es3db3f4XiS1DxR1APpAOgvQvBY1W0vt4ovysYFHu1_5CXA9luyw2aH-7gUnwCD5xyXw</recordid><startdate>2004</startdate><enddate>2004</enddate><creator>Carvalho, Jesus Paula</creator><creator>Diegoli, Mara Solange</creator><creator>Carvalho, Filomena Marino</creator><creator>Diegoli, Carlos Alberto</creator><general>Faculdade de Medicina / Universidade de São Paulo - FM/USP</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>GPN</scope></search><sort><creationdate>2004</creationdate><title>Adnexal torsion following gonadotropin-releasing hormone analog therapy: a case report</title><author>Carvalho, Jesus Paula ; Diegoli, Mara Solange ; Carvalho, Filomena Marino ; Diegoli, Carlos Alberto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2606-c413e4f6adf044d1b3d71ac6e38b23ece9c936c210f5b7d6105719e856d9a0633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adnexal Diseases - chemically induced</topic><topic>Adnexal Diseases - pathology</topic><topic>Adnexal Diseases - surgery</topic><topic>Child</topic><topic>Female</topic><topic>Fertility Agents, Female - adverse effects</topic><topic>Fertility Agents, Female - therapeutic use</topic><topic>Fibrous Dysplasia, Polyostotic - complications</topic><topic>Fibrous Dysplasia, Polyostotic - diagnosis</topic><topic>Humans</topic><topic>Leuprolide - adverse effects</topic><topic>Leuprolide - therapeutic use</topic><topic>MEDICINE, GENERAL & INTERNAL</topic><topic>Puberty, Precocious - drug therapy</topic><topic>Torsion Abnormality - chemically induced</topic><topic>Torsion Abnormality - pathology</topic><topic>Torsion Abnormality - surgery</topic><toplevel>online_resources</toplevel><creatorcontrib>Carvalho, Jesus Paula</creatorcontrib><creatorcontrib>Diegoli, Mara Solange</creatorcontrib><creatorcontrib>Carvalho, Filomena Marino</creatorcontrib><creatorcontrib>Diegoli, Carlos Alberto</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>SciELO</collection><jtitle>Revista do Hospital das Clinicás</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carvalho, Jesus Paula</au><au>Diegoli, Mara Solange</au><au>Carvalho, Filomena Marino</au><au>Diegoli, Carlos Alberto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adnexal torsion following gonadotropin-releasing hormone analog therapy: a case report</atitle><jtitle>Revista do Hospital das Clinicás</jtitle><addtitle>Rev Hosp Clin Fac Med Sao Paulo</addtitle><date>2004</date><risdate>2004</risdate><volume>59</volume><issue>3</issue><spage>128</spage><epage>130</epage><pages>128-130</pages><issn>0041-8781</issn><issn>1678-9903</issn><eissn>0041-8781</eissn><abstract>Adnexal torsion may occur in girls and adolescents. 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| identifier | ISSN: 0041-8781 |
| ispartof | Revista do Hospital das Clinicás, 2004, Vol.59 (3), p.128-130 |
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| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adnexal Diseases - chemically induced Adnexal Diseases - pathology Adnexal Diseases - surgery Child Female Fertility Agents, Female - adverse effects Fertility Agents, Female - therapeutic use Fibrous Dysplasia, Polyostotic - complications Fibrous Dysplasia, Polyostotic - diagnosis Humans Leuprolide - adverse effects Leuprolide - therapeutic use MEDICINE, GENERAL & INTERNAL Puberty, Precocious - drug therapy Torsion Abnormality - chemically induced Torsion Abnormality - pathology Torsion Abnormality - surgery |
| title | Adnexal torsion following gonadotropin-releasing hormone analog therapy: a case report |
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