ABSTRACT
A 12-year-old girl presented with acute abdominal pain due to an acute ovarian torsion. She required an oophorectomy. Clinical and laboratory assessment confirmed severe primary hypothyroidism. In this report, we review this rare complication of untreated primary hypothyroidism and the physiologic mechanisms proposed to explain this phenomenon.
Subject(s)
Hypothyroidism/complications , Hypothyroidism/diagnosis , Ovarian Diseases/diagnosis , Torsion Abnormality/diagnosis , Abdomen, Acute/etiology , Abdomen, Acute/surgery , Child , Diagnosis, Differential , Female , Humans , Ovarian Cysts/diagnosis , Ovarian Cysts/pathology , Ovarian Diseases/parasitology , Ovarian Diseases/surgery , Ovariectomy , Ovary/pathology , Thyroid Function Tests , Torsion Abnormality/parasitology , Torsion Abnormality/surgery , UltrasonographyABSTRACT
Hydatid disease is a considerable social health problem because of its endemic distribution in many countries. Although hydatid disease is usually seen in the liver or lung, it may present anywhere in the body. Here, we present a patient with a primary torsion of a hydatid cyst attached to the greater omentum with a peduncle that caused acute abdomen. This is the first report of a primary torsion of the omentum in hydatid disease. Clinicians are urged to be cognizant of the different and rare locations of hydatid disease, especially in endemic countries.
