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Introduction: Adnexal torsion is of particular concern because it occurs most often in girls, adolescents and women of childbearing age (average age: 26 years), that is, those at greatest risk of see their ovarian function and fertility affected. Observation: 8-year-old girl, with no known history, admitted for abdominal pain of hypogastric location which has been evolving for 48 hours, in whom clinical examination revealed a hypogastric mass of firm consistency. The abdominal-pelvic CT performed revealed a heterogeneous subbladder cystic mass whose appearance suggests a reworked right ovarian cyst. Alpha fetoprotein and Beta HCG are normal. She underwent surgery. Exploration revealed torsion of the right appendix with necrosis of the right ovarian cyst. We performed a right adnexectomy removing the necrotic right ovarian cyst. The postoperative course was simple. After 06 months, the evolution is favorable. Conclusion: Adnexal torsion remains a very difficult condition to diagnose. As its clinical picture is often nonspecific and includes very few distinctive physical manifestations, diagnosis and surgical intervention are generally late.
Doumbia et al. (Mon,) studied this question.