Ovarian Torsion in a 5-Year Old: A Case Report and Review

Figure 2: Doppler ultrasound of a large right ovarian cyst (estimated ovarian volume of 41 cm3) demonstrating arterial flow but scant venous outflow.

Exploratory laparoscopy demonstrated large right ovarian cyst (5.5 cm × 3.9 cm × 3.7 cm) with the right adnexa twisted 360°. The torsion was corrected and a right ovarian cyst drained. The patient was discharged on postoperative day 2 without further complications. Follow-up ultrasound performed three months later showed developing follicles in both adnexa with good arterial and venous blood flow.

3. Discussion

Ovarian torsion is a rare problem within the pediatric population, yet it represents a true gynecological and surgical emergency