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Early polycystic ovary syndrome as a possible etiology of unexplained premenarcheal ovarian torsion.

Publication ,  Journal Article
Shah, AA; Likes, CE; Price, TM
Published in: J Pediatr Adolesc Gynecol
August 2009

STUDY OBJECTIVE: To study evidence of polycystic ovary syndrome (PCOS) in premenarcheal adolescents with unexplained ovarian torsion. DESIGN: Retrospective observational case series. SETTING: Tertiary university clinical center PARTICIPANTS: Six premenarcheal adolescents and six adults with acute ovarian torsion INTERVENTION: A chart review. MAIN OUTCOME MEASURES: Contralateral ovarian size, operative findings, ovarian pathology, hormone testing RESULTS: Five of the six premenarcheal cases had no pathologic explanation for their ovarian torsion. In four of the cases, size measurements of the contralateral ovary were noted to be larger than the criterion of their respective age group. Three of the four cases had either an ovarian volume (28.5 cm(3)) or an area (16.0 cm(2) and 57.6 cm(2)) that was above the size criterion for a polycystic ovary (volume >10 cm(3) or area>5.5 cm(2)). Pathology of a wedge biopsy of one of the contralateral ovaries suggested evidence of polycystic ovary. Finally, hormone testing available in three of the cases revealed elevated testosterone levels in two. Among the adults, half of the cases had a pathologic explanation for ovarian torsion. One out of the five cases had a contralateral ovary that was significantly enlarged and this was noted in a woman with a diagnosis of PCOS. The remaining two cases had extensive necrosis of the torsed ovary and no other diagnosis was made. CONCLUSION: We propose that premenarcheal girls presenting with ovarian torsion, without obvious ovarian pathology, be screened for ultrasound and biochemical evidence of PCOS. In those with evidence of PCOS, treatment with oral contraceptives should be considered taking into account the age and pubertal development, to decrease ovarian volume.

Duke Scholars

Published In

J Pediatr Adolesc Gynecol

DOI

EISSN

1873-4332

Publication Date

August 2009

Volume

22

Issue

4

Start / End Page

265 / 269

Location

United States

Related Subject Headings

  • Torsion Abnormality
  • Retrospective Studies
  • Polycystic Ovary Syndrome
  • Ovariectomy
  • Ovarian Diseases
  • Obstetrics & Reproductive Medicine
  • Humans
  • Female
  • Child
  • Adult
 

Citation

APA
Chicago
ICMJE
MLA
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Shah, A. A., Likes, C. E., & Price, T. M. (2009). Early polycystic ovary syndrome as a possible etiology of unexplained premenarcheal ovarian torsion. J Pediatr Adolesc Gynecol, 22(4), 265–269. https://doi.org/10.1016/j.jpag.2008.11.005
Shah, Anish A., Creighton E. Likes, and Thomas M. Price. “Early polycystic ovary syndrome as a possible etiology of unexplained premenarcheal ovarian torsion.J Pediatr Adolesc Gynecol 22, no. 4 (August 2009): 265–69. https://doi.org/10.1016/j.jpag.2008.11.005.
Shah AA, Likes CE, Price TM. Early polycystic ovary syndrome as a possible etiology of unexplained premenarcheal ovarian torsion. J Pediatr Adolesc Gynecol. 2009 Aug;22(4):265–9.
Shah, Anish A., et al. “Early polycystic ovary syndrome as a possible etiology of unexplained premenarcheal ovarian torsion.J Pediatr Adolesc Gynecol, vol. 22, no. 4, Aug. 2009, pp. 265–69. Pubmed, doi:10.1016/j.jpag.2008.11.005.
Shah AA, Likes CE, Price TM. Early polycystic ovary syndrome as a possible etiology of unexplained premenarcheal ovarian torsion. J Pediatr Adolesc Gynecol. 2009 Aug;22(4):265–269.
Journal cover image

Published In

J Pediatr Adolesc Gynecol

DOI

EISSN

1873-4332

Publication Date

August 2009

Volume

22

Issue

4

Start / End Page

265 / 269

Location

United States

Related Subject Headings

  • Torsion Abnormality
  • Retrospective Studies
  • Polycystic Ovary Syndrome
  • Ovariectomy
  • Ovarian Diseases
  • Obstetrics & Reproductive Medicine
  • Humans
  • Female
  • Child
  • Adult