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Title: SUCCESSFUL MANAGEMENT OF RECURRENT OVARIAN TORSION IN ADOLESCENT BY HOT DOG IN BUN TECHNIQUE
e-poster Number: EP 183
Category: Miscellaneous
Author Name: Dr Neha Pruthi Tandon
Institute:
Co-Author Name:
Abstract :
Background: Ovarian torsion is a surgical emergency that can affect future fertility. Ovariopexy can be done to prevent recurrent torsion. However, despite ovariopexy, recurrent torsion can occur.
Case description: We present two cases of adolescent unmarried girls presented to the gynecological emergency department with history of having had a sudden-onset of severe lower abdomen pain. The patient gave a history of having had a laparotomy done for ovarian .On reviewing their discharge papers, it was seen that both patients had undergone oophorectomy with contralateral ovariopexy. A provisional diagnosis of ovarian torsion was made, and at laparotomy, a torted ovary was seen. Ovarian detorsion with oophoropexy using a new technique (hotdog in a bun) was done. Postoperatively, an ultrasound at 6 weeks follow-up showed a normal detorsion. Postoperatively, after ultrasound at 6 weeks and 6 months follow-up, the patient is having normal ovary with normal AMH levels. Conclusion: Recurrence of torsion can occur even after oophoropexy. Hot dog in bun is a good method of oophoropexy.
