잠시만 기다려 주세요. 로딩중입니다.

Successful laparoscopic surgery for 14-month-old infant with ovarian torsion

대한산부인과학회지 2014년 57권 2호 p.160 ~ 163
 ( Ahn Ji-Hyun ) - Seoul National University Hospital Department of Obstetrics and Gynecology

 ( Chung Jae-Yeon ) - Seoul National University Hospital Department of Obstetrics and Gynecology
 ( Lee Taek-Sang ) - SMG-SNU Boramae Medical Center Department of Obstetrics and Gynecology

Abstract


The prevalence of ovarian torsion is 4.9 among 100,000 females between ages 1 to 20 years. The diagnosis of ovarian torsion in children, especially in infants, is very difficult. Since they cannot explain related symptoms accurately, and reproductive organs lie high in the abdomen, physical examination shows unclear findings. For these reasons, we use imaging studies, such as ultrasonography and magnetic resonance imaging, to diagnose ovarian torsion. However, it is of limited value to diagnose by using these modalities alone. Therefore, clinical suspicion is important for diagnosis. Though pediatric laparoscopic surgery was introduced 20 years ago, it has been widely performed since the mid 1990s with the development of 3-mm instruments. In addition, usually the pediatric operation is done in the pediatric surgery office, even though it is a gynecologic procedure. In addition, laparotomy is still more frequently conducted in current clinical practice, although the frequency of laparoscopic surgery has increased. However, it is thought that expert gynecologic surgeons can perform pediatric laparoscopic operations if they pay attention to some precautions. We report herein the case of a 14-month-old infant who underwent emergency laparoscopic untwisting of ovarian torsion successfully without complications by a gynecologic surgeon, with a brief review of the literature.

키워드

Infant; Laparoscopy; Ovarian torsion
원문 및 링크아웃 정보
  
등재저널 정보
KCI
KoreaMed
KAMS