Adnexal torsion in a 7yr old girl; dilemma in diagnosis and treatment: a case report

Ovarian torsion is an infrequent diagnosis in the paediatric age group but can be catastrophe especially if ovarian salvage is not possible. The clinical picture is nonspecific, and children cannot always articulate their symptoms, which often make the diagnosis a challenge. Because of its nonspecific manifestations, torsion has been confused with other conditions, such as appendicitis. Due to this cases often reported late, as in our case. A 7 yr old Fch presented with acute abdomen after two days. Imaging shows left adnexal mass with doubtful vascularity. So exploratory laparotomy followed by left salpingoopherectomy performed. We are reporting this case, as left sided ovarian torsion is a rare presentation of adnexal torsion in this age group.