Turning of the uterine appendices in children
- Authors: Okunev N.A.1, Okuneva A.I.1, Begoulova E.G.2, Kuptsova S.V.2, Kotelnikova A.V.1, Podshivalova I.A.1
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Affiliations:
- N.P. Ogarev Mordovian State University Medical Institute
- Children’s Republican Clinical Hospital
- Issue: Vol 10, No 1 (2020)
- Pages: 69-74
- Section: Original Study Articles
- URL: https://bakhtiniada.ru/2219-4061/article/view/123441
- DOI: https://doi.org/10.17816/psaic575
- ID: 123441
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Abstract
Purpose. To analyze the clinical picture of the disease, diagnostic criteria and treatment tactics for girls with torsion of the uterus for 2016–2018 in the Children’s Republican Clinical Hospital in Saransk.
Materials and methods of the research: the study included 16 girls who were examined and treated at the state budgetary health institution of the Republic of Mordovia, the Saransk Children’s Republican Clinical Hospital.
Results. The largest number of torsions was found in patients aged 8 to 12 years. In 69% of cases, girls with this pathology lived in the city, 31% in rural areas. In the first 12 hours from the onset of the disease, most patients, namely 9 patients who were worried about nausea, vomiting, fever, pain on the side of the lesion, came to the emergency room. On examination, 5 patients showed a positive symptom of peritoneal irritation, in 2 it was doubtful, and in 6 negative. During the diagnosis, it was revealed that the right appendage is affected more often than the left. The possibility of preserving obviously unviable uterine appendages on the basis of ultrasound and intraoperative data is described, as well as further tactics of conservative management of girls with torsions are presented.
Conclusion. Removal of the uterine appendages was performed in cases of congenital torsions with necrosis, torsions with anomalies of development and necrosis of the appendages, as well as with a duration of torsion and necrosis of more than 5 days. In other cases, even with severe signs of malnutrition, organ-preserving operations were performed
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##article.viewOnOriginalSite##About the authors
Nikolay A. Okunev
N.P. Ogarev Mordovian State University Medical Institute
Email: nicolai.okunev@yandex.ru
ORCID iD: 0000-0001-8786-6998
Dr. Sci. (Med.), Professor
Russian Federation, SaranskAlexandra I. Okuneva
N.P. Ogarev Mordovian State University Medical Institute
Email: toropkinaokuneva@yandex.ru
ORCID iD: 0000-0002-7182-2197
Cand. Sci. (Med.), senior lecturer
Russian Federation, SaranskElena G. Begoulova
Children’s Republican Clinical Hospital
Email: begaulova@yandex.ru
pediatric gynecologist
Russian Federation, SaranskSvetlana V. Kuptsova
Children’s Republican Clinical Hospital
Email: Svetlkupcova@yandex.ru
pediatric gynecologist
Russian Federation, SaranskAnna V. Kotelnikova
N.P. Ogarev Mordovian State University Medical Institute
Author for correspondence.
Email: anna.kotelnikova.96@bk.ru
ORCID iD: 0000-0003-4644-0944
is a 6th year student
Russian Federation, SaranskIrina A. Podshivalova
N.P. Ogarev Mordovian State University Medical Institute
Email: podshivalova.ira_0511@mail.ru
ORCID iD: 0000-0002-6484-4793
is a 6th year student
Russian Federation, SaranskReferences
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