Abstract

Oophorexy for ovarian torsion is a simple procedure which seems justifiable in order to avoid devastating consequences. In premenarchial girls, pexy of the untwisted ovary, the contralateral ovary or both should be considered. We present an interesting case of 9-year-old girl with recurrent left ovarian torsion. This was the third episode of left ovarian torsion. She underwent right oopherectomy in the past for right ovarian torsion. Oophorexy along with detorsion had been done twice before with no success. So, during her third episode of left ovarian torsion ovarian bivalving after detorsion along with oophoropexy with multiple ligament fixations was done. After the untwisting of ischemic adnexa, ovarian bivalving is an effective technique to decrease ovarian intracapsular pressure, increase arterial perfusion, and facilitate adnexal reperfusion and recovery. As ovarian torsion may recur after detorsion unilateral or bilateral oophoropexy with multiple ligament fixations along with ovarian bivalving following detorsion may be performed to prevent recurrence.

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