An unusal cause of RLQ abdominal pain in premenarcheal girl: A case of torsion of normal adnexal torsion.

Lee, Seung Pil; Kim, Gang Deuk

Case Report

Korean Journal of Obstetrics & Gynecology 2006;49(2):472-476.
Published online February 1, 2006.

An unusal cause of RLQ abdominal pain in premenarcheal girl: A case of torsion of normal adnexal torsion.

¹Department of Obstetrics and Gynecology, Gunsan Medical Center of Wonkwang University Hospital, Gunsan, Korea. splee1228@hanmail.net
²Department of Radiology, Gunsan Medical Center of Wonkwang University Hospital, Gunsan, Korea.

Abstract

Torsion of a normal adnexa is rare, but can occurs. For premenarcheal girls, gynecologic disorders are less commonly considered in differential diagnosis because they occur infrequently. Generally, girls with right lower quadrant pain are considered to have appendicitis untill proven otherwise. An immediate diagnosis is very important because early surgical intervention is the only way to save the ovary from necrosis. The author reviews the clinical presentation, ultrasonographic and MRI feature and treatment of torsion of normal uterine adnexa.

Key Words: Normal adnexal torsion, Premanarcheal girl, RLQ pain