Ovarian Torsion in an Adolescent with Beckwith-Wiedemann Syndrome and Unilateral Tubo-ovarian Hyperplasia
| Autor: | Aron Flagg, Ihsan Mamoun, Upendra Mahat, Josephine K Dermawan, Richard Herman |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Torsion Abnormality Tubo-ovarian Beckwith-Wiedemann Syndrome Adolescent Beckwith–Wiedemann syndrome medicine Humans Ovarian Diseases Gynecology Hyperplasia business.industry Ovarian torsion Obstetrics and Gynecology General Medicine medicine.disease Embryonal tumors medicine.anatomical_structure Overgrowth syndrome Pediatrics Perinatology and Child Health Female medicine.symptom business Fallopian tube |
| Zdroj: | Journal of pediatric and adolescent gynecology. 32(4) |
| ISSN: | 1873-4332 |
| Popis: | Background Beckwith-Wiedemann syndrome (BWS) is the most common pediatric overgrowth syndrome. BWS has a broad phenotypic presentation along with an increased propensity to develop various embryonal tumors. There are very few reported cases of gonadal hyperplasia in BWS patients in the existing literature. Case We describe a 13-year-old girl with BWS who presented with an episode of abdominal pain and was found to have torsion and necrosis of a markedly hyperplastic right ovary and fallopian tube. We present a brief literature review on ovarian hyperplasia in BWS patients for which we used an online search of the databases PubMed, Embase, Ovid Medline, and Cochrane. Results and Conclusion Through an extensive literature search, we only found 3 previous reports of ovarian hyperplasia in BWS patients, all in postmortem specimens. Our case highlights a potentially important aspect of visceral organ hyperplasia in patients with BWS that could remain indolent until adolescence and might present as an abrupt-onset abdominopelvic catastrophe. |
| Databáze: | OpenAIRE |
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