Klinische Pädiatrie: Offener Zugang
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Abstrakt

Ovarian Torsion: Acute Surgical Emergency in Primary Hypothyroidism

Jonnalagadda Kavya*, Jonnalagadda Pranav

A 10-year-old girl presented to the emergency department with acute pain abdomen. Imaging revealed bilateral polycystic ovaries, bulky right ovary with hyper dense walls, and post-contrast enhancement suggestive of right ovarian torsion with infarction. Endocrine consultation was asked for, to rule out endocrine causes of short stature with ovarian enlargement. Suspecting primary hypothyroidism, related blood samples were collected and TSH turned out to be as high as >150 uIU/ml. The child was given Inj. Hydrocortisone 50 mg to prevent lazy adrenal syndrome along with Tab. Levo-thyroxine 100 mcg and was taken up for Emergency right salpingo-oophorectomy. In this case report, we review about the rare complication, ovarian torsion with infarction in untreated primary hypothyroidism, and elaborate on mechanisms responsible for this phenomenon.