An unusal cause of RLQ abdominal pain in premenarcheal girl: A case of torsion of normal adnexal torsion / 대한산부인과학회지

Torsion of a normal adnexa is rare, but can occurs. For premenarcheal girls, gynecologic disorders are less commonly considered in differential diagnosis because they occur infrequently. Generally, girls with right lower quadrant pain are considered to have appendicitis untill proven otherwise. An immediate diagnosis is very important because early surgical intervention is the only way to save the ovary from necrosis. The author reviews the clinical presentation, ultrasonographic and MRI feature and treatment of torsion of normal uterine adnexa.