Ovarian torsion in a patient with müllerian agenesis: increased risk?

J Pediatr Adolesc Gynecol. 2012 Dec;25(6):e125-8. doi: 10.1016/j.jpag.2012.08.001. Epub 2012 Oct 23.

Abstract

Background: Patients with müllerian agenesis may be at an increased risk of ovarian torsion due to the absence of the utero-ovarian ligament and the fact that the ovary is not tethered to a fixed and relatively non-mobile structure, the uterus.

Case: We report a case of a 14-year-old female with abdominal pain who had a physical examination suggestive of müllerian agenesis. Imaging was non-diagnostic and demonstrated an abdominal mass. Emergent surgery revealed ovarian torsion.

Summary and conclusion: We present this case of ovarian torsion and müllerian agenesis, in order to highlight the association and to review potential risk factors.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Adolescent
  • Female
  • Humans
  • Mullerian Ducts / abnormalities*
  • Necrosis
  • Ovarian Diseases / diagnosis*
  • Ovarian Diseases / etiology
  • Ovarian Diseases / surgery
  • Ovariectomy
  • Ovary / pathology*
  • Torsion Abnormality / diagnosis*
  • Torsion Abnormality / etiology
  • Torsion Abnormality / surgery