Torsion of Granulosa Cell Tumor of the Ovary in a Preschool Patient: A Rare Cause of Acute Abdomen
| Autor: | Jeferson Tobias da Silva de Oliveira, Claudia Renata Rezende Penna, Ivens Baker Méio, Ivonete Siviero, Danielle Nunes Forny, Betina Carla Bertrand Simões, Vera Lucia Antunes Chagas |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pathology
medicine.medical_specialty endocrine system Torsion Abnormality Granulosa cell Salpingo-oophorectomy Puberty Precocious 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine medicine Precocious puberty Humans Child Granulosa Cell Tumor Abdomen Acute Ovarian Neoplasms business.industry Artilces Ovarian torsion General Medicine Abdominal distension medicine.disease medicine.anatomical_structure Acute abdomen 030220 oncology & carcinogenesis Salpingo-Oophorectomy Child Preschool Abdomen Female medicine.symptom business |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| Popis: | Patient: Female, 5-year-old Final Diagnosis: Granulosa cell tumor of the ovary Symptoms: Abdomen distension • abdominal mass • abdominal pain Medication:— Clinical Procedure: Diagnostic tests, surgical treatment and chemotherapy Specialty: Pediatrics and Neonatology Objective: Rare disease Background: Granulosa cell tumor of the ovary is very rare in childhood; its most common clinical manifestation is isosexual precocious puberty. Clinical presentation as acute abdomen due to pain and ovarian torsion is rare, but a granulosa cell tumor must be suspected in a patient with this acute presentation and signs of early puberty. Adult-type granulosa cell tumor is an even rarer occurrence in children. Case Report: We report a case of torsion of adult-type granulosa cell tumor of the ovary in a 5-year-old patient with acute abdominal pain and ovarian torsion and highlight the importance of histological diagnosis of this tumor for the therapeutic plan and progression of these patients. Conclusion: Precocious puberty, pain, abdominal distension, and an ultrasonography with suspicion of ovarian torsion are warning signs that may indicate the presence of a gonadal stromal tumor in pediatric patients seen at an emergency unit. These patients require long-term follow-up by a pediatrician and gynecologist because of the potential for late recurrence. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|