ОСОБЕННОСТИ ДИАГНОСТИКИ ПЕРЕКРУТА ПРИДАТКОВ МАТКИ У ДЕВОЧКИ 15 ЛЕТ

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Детская хирургия. Журнал им. Ю.Ф. Исакова. 2019; 23: 154-156

ОСОБЕННОСТИ ДИАГНОСТИКИ ПЕРЕКРУТА ПРИДАТКОВ МАТКИ У ДЕВОЧКИ 15 ЛЕТ

Адамян Л. В., Сибирская Е. В., Шарков С. М., Файзулин А. К., Вечернина А. В.

https://doi.org/10.18821/1560-9510-2019-23-3-154-156

Аннотация

Список литературы

1. Батырова З.К., Чундокова М.А., Уварова Е.В. Перекрут придатков матки. Органосохраняющая тактика. Акушерство и гинекология. 2017; 9: 36-41.

2. Ишпахтин Ю.И. Актуальные проблемы гинекологии детского возраста. Монография. М.: Издательство Дальневосточного Федерального ун-та. 2015; 216.

3. Милош Т.С., Гутикова Л.В. Детская гинекология. Учебное пособие. Гродно: ГрГМУ; 2016.

4. Басос А.С., Берлев И.В. Лапароскопический доступ. Учебно-методическое пособие. М.: Эко-Вектор; 2018; 38. p. 15-27

5. Сибирская Е.В., Адамян Л.В., Яцык С.П., Гераськина С.Г. Боли в животе у девочек, связанные с гинекологической патологией. Ошибки диагностики и лечения. Педиатрическая фармакология. 2014; 11(4): 16-21.

6. Stancovich Z. Saving ovaries from torsion, tumors and trigger-happy surgeons. Report at 13th Congress of Pediatric and AdoLescent Gyn. London. 2014. p. 123-35

7. Сибирская Е.В., Адамян Л.В., Яцык С.П., Гераськина С.Г. Абдоминальный болевой синдром у девочек при опухолях и опухолевидных образованиях придатков матки. Вопросы современной педиатрии. 2014; 6: 34-41.

8. Дементьев А.С. Акушерство и гинекология. Стандарты медицинской помощи. 2-е издание исправленное и дополненное. Учебное пособие. М.: ГЭОТАР-Медиа; 2017; 1040 с.

9. Spinelli C., Buti I., Pucci V. et al. Adnexal torsion in children and adolescents: new trends to conservative surgical approach -Our experience and review of literature. Gynecol. Endocrinol. 2013; 29: 29-44.

10. Stancovich Z. Saving ovaries from torsion, tumors and trigger-happy surgeons. Report at 13th Congress of Pediatric and Adolescent Gynecology. London. 2014; р. 12-25.

11. Geimanaite L., Trainavicius K. Ovarian torsion in children: management and outcomes. J. Pediatr. Surg. 2013; 48(9): 1946-53.

12. Адамян Л.В., Дьяконова Е.Ю., Сибирская Е.В., Поддубный И.В., Глыбина Т.М. и др. Хирургическая тактика при перекрутах придатков матки у детей. Репродуктивное здоровье детей и подростков. 2014; 4: 35-41

13. Agarwal P., Bagdi R. et al. Ovarian preservation in children for adenexal pathology, current trends in laparoscopic management and our experience. J. Indian Assoc. Pediatr. Surg. 2014; 19(2): 65-9.

14. Heather A., Cynthia A., Jeanne Choi-Rosen et al. Key Clinical Predictors in the Early Diagnosis of Adnexal Torsion in Children. Journal Pediatr. Adolesc. Gynecol. 2013; 26: 167-70.

15. Сибирская Е.В., Короткова С.А., Врублевский С.Г., Журавлева С.А., Смаль Т.А. Перекрут придатков матки у детей. Хирургическая тактика. Анализ ошибок. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2016; 2: 22-8

16. Santos X.M., Cass D.L., Dietrich J.E. Outcome Following Detorsion of Torsed Adnexa in Children. J. Pediatr. Adolesc. Gynecol. 2015; 28(3): 136-8.

17. Albrayam F., Hamper U.M. Ovarian and adnexal torsion: spectrum of sonographic findings with pathologic correlation. J. Ultrasound Med. 2014; 20(10): 1083-9.

18. Chang H.C., Bhatt S., Dogra V.S. Pearls and pitfalls in diagnosis of ovarian torsion. J. Radiographics. 2015; 28(5): 1355-68.

19. Parelkar S.V., Mundada D., Sanghvi B.V. et al. Should the ovary always be conserved in torsion? A tertiary care institute experience. J. Pediatr. Surg. 2017; 49(3): 465-8.

20. Адамян Л.В., Сибирская Е.В., Колтунов И.Е., Шарков С.М., Шуткова А.Ю., Тарбая Н.О. Опухоли и опухолевидные образования придатков матки. Детская хирургия. 2016; 6: 320-3

21. Spinelli C., Buti I., Pucci V. et al. Adnexal torsion in children and adolescents: new trends to conservative surgical approach. Our experience and review of literature. Gynecol. Endocrinol. 2016: 54-9

22. Пыков М.И., Озерская И.А., Заболотская Н.В. Эхография репродуктивной системы девочки, подростка, девушки. Учебное пособие. М.: Видар-М; 2013. 331 c

Russian Journal of Pediatric Surgery. 2019; 23: 154-156

SPECIFIC MOMENTS IN THE DIAGNOSTICS OF UTERINE ADNEXA TORSION IN A 15-YEAR OLD GIRL

Adamyan L. V., Sibirskaya E. V., Sharkov S. M., Fayzulin A. K., Vechernina A. V.

https://doi.org/10.18821/1560-9510-2019-23-3-154-156

Abstract

Currently, differential diagnostics and treatment of uterine adnexal torsion (UAT) in girls is not completely solved and is not an easy one because surgical and gynecological pathologies often intersect with each other. That is why, girls with abdominal pain are to be consulted by a gynecologist. The case discussed in the article demonstrates the problem with differential diagnostics in girls with “acute abdomen”. UAT differential diagnostics is not easy because this pathology has no clear clinical picture what complicates putting a correct diagnosis. UAT in girls is an acute pathology which has to be differentiated from the volume tumor-like formations in the ovaries, a frequent complication of which is an incomplete torsion of tumor leg or ovarian tumor which then leads to complete uterine adnexa torsion. Differential diagnostics should be done with other surgical pathologies such as acute appendicitis, omentum infiltration. Their clinical picture is characterized by a certain complex of symptoms which develops specific changes during the progress of the inflammatory process; this picture also depends on the anatomical peculiarities. Uterine adnexa torsion is met in 15-25% of girls with abdominal pain syndrome. The aim of this work is to demonstrate preventive measures so as to avoid possible diagnostic errors and complications associated with them in girls with abdominal pain syndrome.

References

1. Batyrova Z.K., Chundokova M.A., Uvarova E.V. Perekrut pridatkov matki. Organosokhranyayushchaya taktika. Akusherstvo i ginekologiya. 2017; 9: 36-41.

2. Ishpakhtin Yu.I. Aktual'nye problemy ginekologii detskogo vozrasta. Monografiya. M.: Izdatel'stvo Dal'nevostochnogo Federal'nogo un-ta. 2015; 216.

3. Milosh T.S., Gutikova L.V. Detskaya ginekologiya. Uchebnoe posobie. Grodno: GrGMU; 2016.

4. Basos A.S., Berlev I.V. Laparoskopicheskii dostup. Uchebno-metodicheskoe posobie. M.: Eko-Vektor; 2018; 38. p. 15-27

5. Sibirskaya E.V., Adamyan L.V., Yatsyk S.P., Geras'kina S.G. Boli v zhivote u devochek, svyazannye s ginekologicheskoi patologiei. Oshibki diagnostiki i lecheniya. Pediatricheskaya farmakologiya. 2014; 11(4): 16-21.

6. Stancovich Z. Saving ovaries from torsion, tumors and trigger-happy surgeons. Report at 13th Congress of Pediatric and AdoLescent Gyn. London. 2014. p. 123-35

7. Sibirskaya E.V., Adamyan L.V., Yatsyk S.P., Geras'kina S.G. Abdominal'nyi bolevoi sindrom u devochek pri opukholyakh i opukholevidnykh obrazovaniyakh pridatkov matki. Voprosy sovremennoi pediatrii. 2014; 6: 34-41.

8. Dement'ev A.S. Akusherstvo i ginekologiya. Standarty meditsinskoi pomoshchi. 2-e izdanie ispravlennoe i dopolnennoe. Uchebnoe posobie. M.: GEOTAR-Media; 2017; 1040 s.

10. Stancovich Z. Saving ovaries from torsion, tumors and trigger-happy surgeons. Report at 13th Congress of Pediatric and Adolescent Gynecology. London. 2014; r. 12-25.

11. Geimanaite L., Trainavicius K. Ovarian torsion in children: management and outcomes. J. Pediatr. Surg. 2013; 48(9): 1946-53.

12. Adamyan L.V., D'yakonova E.Yu., Sibirskaya E.V., Poddubnyi I.V., Glybina T.M. i dr. Khirurgicheskaya taktika pri perekrutakh pridatkov matki u detei. Reproduktivnoe zdorov'e detei i podrostkov. 2014; 4: 35-41

14. Heather A., Cynthia A., Jeanne Choi-Rosen et al. Key Clinical Predictors in the Early Diagnosis of Adnexal Torsion in Children. Journal Pediatr. Adolesc. Gynecol. 2013; 26: 167-70.

15. Sibirskaya E.V., Korotkova S.A., Vrublevskii S.G., Zhuravleva S.A., Smal' T.A. Perekrut pridatkov matki u detei. Khirurgicheskaya taktika. Analiz oshibok. Rossiiskii vestnik detskoi khirurgii, anesteziologii i reanimatologii. 2016; 2: 22-8

16. Santos X.M., Cass D.L., Dietrich J.E. Outcome Following Detorsion of Torsed Adnexa in Children. J. Pediatr. Adolesc. Gynecol. 2015; 28(3): 136-8.

17. Albrayam F., Hamper U.M. Ovarian and adnexal torsion: spectrum of sonographic findings with pathologic correlation. J. Ultrasound Med. 2014; 20(10): 1083-9.

18. Chang H.C., Bhatt S., Dogra V.S. Pearls and pitfalls in diagnosis of ovarian torsion. J. Radiographics. 2015; 28(5): 1355-68.

19. Parelkar S.V., Mundada D., Sanghvi B.V. et al. Should the ovary always be conserved in torsion? A tertiary care institute experience. J. Pediatr. Surg. 2017; 49(3): 465-8.

20. Adamyan L.V., Sibirskaya E.V., Koltunov I.E., Sharkov S.M., Shutkova A.Yu., Tarbaya N.O. Opukholi i opukholevidnye obrazovaniya pridatkov matki. Detskaya khirurgiya. 2016; 6: 320-3

22. Pykov M.I., Ozerskaya I.A., Zabolotskaya N.V. Ekhografiya reproduktivnoi sistemy devochki, podrostka, devushki. Uchebnoe posobie. M.: Vidar-M; 2013. 331 c

ОСОБЕННОСТИ ДИАГНОСТИКИ ПЕРЕКРУТА ПРИДАТКОВ МАТКИ У ДЕВОЧКИ 15 ЛЕТ

Аннотация

SPECIFIC MOMENTS IN THE DIAGNOSTICS OF UTERINE ADNEXA TORSION IN A 15-YEAR OLD GIRL

Abstract

События