Rotation of ovary and fallopian tube in paediatrics

Key words: Ovarian torsion, Adnexal torsion, Oophoropexy

Adnexal torsion is a surgical emergency defined as the total or partial rotation of ovary, fallopian tube or both around the vascular axis resulting in impaired blood flow with consequent ischemic injury. Misdiagnosis or delay in treatment may lead to permanent sequelae including necrotic damage of the ovary with effect on future reproductive potential, peritonitis, and even death. Nowadays, conservative treatment is considered the gold standard in order to preserve the ovarian function. Oophoropexy could be taken into consideration in patients with risk of recurrent adnexal torsions, but currently there is not a uniform consent in the surgical community. The paper presents an emblematic case.