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Case Reports in Obstetrics and Gynecology
Volume 2013, Article ID 235459, 3 pages
http://dx.doi.org/10.1155/2013/235459
Case Report

Adnexal Torsion with Dystrophic Calcifications in an Adolescent: A Chronic Entity?

1Department of Obstetrics and Gynecology, CBU School of Medicine, 45000 Manisa, Turkey
2Department of Radiology, CBU School of Medicine, Manisa, Turkey
3Department of Pathology, CBU School of Medicine, Manisa, Turkey

Received 22 October 2013; Accepted 3 December 2013

Academic Editors: H. Honnma, I. Kowalcek, and P. McGovern

Copyright © 2013 Pinar Solmaz Hasdemir et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Intermittent pelvic pain caused by ovarian cysts in adolescence may be due to torsion or partial torsion of the ovary. We present a case of 18-year old adolescent with symptomatic left ovarian torsion with calcifications demonstrated by pelvic MRI and ultrasonography prior to surgery. The pathologic investigation demonstrated dystrophic calcifications. We speculated that the pattern of the intermittent pain in the story of the patient and the dystrophic calcifications in pathologic investigation which is thought that it might have been potentially developed as a result of chronic hypoxia due to intermittent partial torsions over a period of two years.