Abdominal pain syndrome in girls, adolescents and young women with tumor-like formations of the uterine adnexa

Tuchkina I. O., Tuchkina M. Yu., Kiebashvili S. V. Abdominal pain syndrome in girls, adolescents and young women with tumor-like formations of the uterine adnexa. Journal of Education, Health and Sport. 2021;11(10):135-142. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2021.11.10.012 https://apcz.umk.pl/JEHS/article/view/JEHS.2021.11.10.012 https://zenodo.org/record/5586045 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2021; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 30.09.2021. Revised: 12.10.2021. Accepted: 20.10.2021. ABDOMINAL PAIN SYNDROME IN GIRLS, ADOLESCENTS AND YOUNG WOMEN WITH TUMOR-LIKE FORMATIONS OF THE UTERINE ADNEXA I. O. Tuchkina, M. Yu. Tuchkina, S. V. Kiebashvili Kharkiv National Medical University Tuchkina Iryna - ORCID: https://orcid.org/0000-0003-4280-1474 Tuchkina Maryna - ORCID: https://orcid.org/0000-0002-9903-1784 Kiebashvili Salome - ORCID: https://orcid.org/0000-0003-0787-5996 Abstract The article presents the clinical features of the complicated course of tumor-like formations of the uterine adnexa in girls, adolescents and young women. The characteristic symptoms of adnexal torsion are described. Topographic and anatomic features leading to torsion of ovarian cysts and uterine appendages, features of the surgical treatment of patients with complicated adnexal torsion are presented. The aim was to study the frequency of occurrence of ovarian tumor-like formations and their complicated course in girls, adolescents and young women, improve early diagnosis and develop optimal methods of conserving surgical treatment of this pathology. Material and methods. The study included 90 girls, adolescents and young women. Patients were divided into three groups. 1 group included 30 young women; the 2nd group consisted of 35 adolescents 13-17 years; 3 group consisted of 25 girls from 2 to 12 years. Diagnostic complex included clinical, special gynecological, comprehensive laboratory, ultrasound (including doppler ultrasound) research, computer and magnetic resonance imaging (if indicated). Results and discussion. The final diagnosis of “Ovarian cyst” was verified in 46 of 90 patients (51,1 %): group 1 – 26 of 30 (86,6 %), in 2 – 18 of 35 (51,4 %), in 3 - 2 of 25 (8 %). It is established that the torsion of the uterine adnexa was detected in 44 of 90 patients: in 1 group – 13,3% of cases (4 of 30 young women), in 2 group – 48,5 % (17 of 35 adolescents), in 3 group – 92 % (23 of 25 girls). 76 surgeries were performed by laparoscopy with preservation of the ovarian reserve, 12 patients were treated conservatively with final diagnosis “Ovulatory syndrome” and “Retention cyst of the ovary”. Conclusions. Ovarian cyst as the cause of abdominal pain is significantly more often diagnosed in young reproductive age than in patients of prepubertal and pubertal age. In girls and adolescent girls with symptoms of acute abdomen the torsion of intact uterine adnexa was significantly more common than in adult patients, due to anatomical features of the internal reproductive organs and more a mobile lifestyle inherent in this age group. Optimal treatment of functional ovarian cyst is complex conservative therapy, surgical treatment of ovarian cysts at a young age is conducted under strict indications, treatment of choice is laparoscopy. Key words: ovarian cyst; uterine adnexаl torsion; girls; adolescents; young reproductive age; laparoscopy