Background: Torsion of the uterine adnexa is an uncommon occurrence in infants, but when it does occur, the consequences may be catastrophic.
Case: A 4-month-old female presented with sudden cardiac and respiratory arrest. There were no prior signs of illness. The infant was resuscitated and survived for one day after the event. Autopsy revealed a left ovarian cyst with torsion. Necrosis of the transverse colon was also seen. Other organs revealed signs of shock. The cause of death was felt to be related to the torsion.
Summary And Conclusion: Torsion of the uterine adnexa is rare in infants. In the few reported cases, antecedent symptoms were present. Clinicians should be aware of this possibility and include it in the differential diagnosis of death in infancy.
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- * The report highlighted two cases of ovarian torsion following laparoscopic radical hysterectomy for cervical cancer, where both patients underwent a procedure meant to prevent this complication but still experienced torsion.
- * With ovarian torsion occurring in 1-8% of post-hysterectomy cases and rising cervical cancer rates among younger women, further research and improved surgical techniques are essential for better prevention and diagnosis.
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