Ovarian Torsion in Adolescents

Kathryn Stambough, Krista Childress
In: Endometriosis in Adolescents · 2020 · pp. 499–509 · doi:10.1007/978-3-030-52984-0_28 · W3102687246
book-chapter OA: closed CC0
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-09 ⓘ

Adnexal torsion, a common reproductive emergency, can be influenced by pathologies like endometriosis, and conservative management involving laparoscopy and detorsion is recommended for adolescents.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This chapter reviews adnexal torsion in adolescents, outlining how various ovarian and tubal pathologies increase torsion risk and summarizing common diagnostic and operative approaches. It reports that, particularly when torsion is triggered by ovarian or tubal endometriomas or adhesive disease, the recommended adolescent management is conservative, using diagnostic laparoscopy, detorsion, cystectomy, and retention of the adnexa despite a non-viable appearance. A key caveat is that the evidence is presented as general guidance in a review/chapter format rather than as new adolescent outcome data from a single study. Relevance to endometriosis: the paper states that endometriosis increases torsion risk through ovarian or tubal endometriomas and reactive adhesive disease, though its main focus is management of ovarian/adnexal torsion in adolescents.

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