ArticleBMC women's health2025
A case of long-term follow-up of follicular development after laparoscopic retorsion for normal ovarian torsion.
Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTorsion of a morphologically normal ovary is rare, though relatively more frequent in pediatric patients. Laparoscopic detorsion with ovarian preservation is the standard treatment; however, intraoperative decisions are often difficult when the ovary appears severely ischemic. Evidence on the long-term functional outcomes of preserved, ischemic-appearing ovaries remains limited. This case highlights the potential for delayed recovery of follicular function even when early imaging suggests atrophy. CASE PRESENTATION: An 11-year-old premenarchal girl presented with acute abdominal pain, vomiting, and low-grade fever. Abdominal computed tomography (CT) revealed a non-enhancing pelvic mass, raising suspicion of ovarian torsion. Emergency laparoscopy, performed 35 h after symptom onset, revealed a 720° counterclockwise torsion of the left ovary, which was enlarged, dark purple, and located in the pouch of Douglas. Despite the lack of visible reperfusion following detorsion, the ovary was preserved given the absence of neoplastic findings and the patient's young age. Postoperative magnetic resonance imaging (MRI) at one month and six months demonstrated progressive atrophy of the affected ovary with complete loss of follicles, strongly suggesting necrosis. Unexpectedly, at 1 year post-surgery, MRI showed renewed follicular development and restoration of ovarian volume. By 2 years, additional follicles were observed.
conclusionsIntraoperative appearance alone is not a reliable predictor of ovarian viability, and complete necrosis is uncommon. This case demonstrates that even severely ischemic ovaries may regain function after prolonged intervals, emphasizing the importance of ovarian preservation and extended follow-up in pediatric torsion cases. The long-term implications for fertility, however, require further study.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.