Asynchronous Bilateral Ovarian Torsion: Three Cases, Three Lessons

Table 2

Reported cases of ABOT in the premenarchal age group.

Case no. and year	Age at time of first torsion (yr)	Age at time of second torsion (yr)	Interval between surgery	Affected side/surgical procedure at time of first torsion	Affected side/surgical procedure at time of second torsion	Castration
(1 case) 1934 [12]	7	9	2 years and 3 months	R/SOP	L/SOP	Yes
(1 case) 1980 [26]	12	12	6 weeks	R/SOP	L/SOP	Yes
(1 case) 1981 [27]	3	6	3 years	R/SOP	L/SOP	Yes
(1 case) 1984 [28]	7	8	2 years	R/SOP	L/SOP	Yes
(1 case) 1986 [29]	6	8	2 years	L/SOP	R/detorsion	No
(1 case) 1987 [30]	7	9	2 years	R/SOP	L/SOP	Yes
(1 case) 1989 [31]	6.5	10.5	4 years	L/SOP	R/SOP	Yes
(1 case) 1990 [32]	3.5	10.5	7 years	R/SOP	L/SOP	Yes
(1 case) 1990 [8]	8.5	9.5	1 year	R/SOP	L/SOP	Yes
(1 case) 1993 [33]	10	11	8 months	R/SOP	L/detorsion + OPXY	No
(1 case) 1996 [34]	10	12	2 years	L/SOP	R/detorsion + PLICA	No
(1 case) 1997 [35]	UK	13	UK	L/INCD	R/detorsion + PLICA	No
(1 case) 2000 [36]	8	17	9 years	R/SOP	L/detorsion + OPXY	No
(1 case) 2000 [37]	4.5	6	17 months	L/SOP	R/detorsion + OPXY	No
(1 case) 2000 [38]	UK	9	UK	L/INCD	R/detorsion	No
(1 case) 2002 [39]	9	10	7 months	R/SOP	L/detorsion + OPXY	No
(1 case) 2002 [39]	12	12	5 months	R/SOP	L/detorsion + OPXY	No
(4 cases) 2004 [2]	Mean age 10.6 years (ranging from 3.3 months to 13.1 years)	—	Range between 7 and 30 months	For all 4 cases: L/SOP	For all 4 cases: R/detorsion + OPXY	Yes
(1 case) 2005 [15]	13	13	20 days	R/SOP	L/SOP	Yes
(1 case) 2006 [1]	11	12	1 year	Right oophorectomy	L/detorsion + OPXY	Yes
(1 case) 2008 [16]	6	6	1 year	R/SOP	L/detorsion + OPXY	Yes
(1 case) 2013 [40]	8	8	4 months	R/detorsion	Underwent surgical exploration 4 times, intraoperative procedure was performed: L/detorsion + OPXY and bilateral shortening of ovarian ligaments	No
(1 case) 2014 [9]	9	12	1 month	R/SOP	L/SOP	Yes
Current case	14 days of her life	3 years and 4 months	3 years	R/SOP secondary to ovarian cyst	L/detorsion + OPXY	Yes
Current case	8 years and 8 months	9 years and 1 month	4 months	R/detorsion + OPXY	L/detorsion	No
Current case	9	12	3 years	R/SOP	Underwent surgical exploration 2 times, intraoperative procedure was performed: L/detorsion + OPXY	Yes

R: right; SOP: salpingo-oophorectomy; L: left; OPXY: oophoropexy; PLICA: plication of the utero-ovarian ligament; UK: unknown; INCD: incidentally found.