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CASE REPORT article
Front. Med.
Sec. Obstetrics and Gynecology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1509477
This article is part of the Research Topic Advancements in Diagnostic and Management Strategies for Gynecological Pathologies View all 13 articles
Intrauterine ovarian torsion with autoamputation and intra-abdominal wandering mass: Report of three cases and literature review
Provisionally accepted
Xinxing Liu 1
Guojian Ding 1
Wenchao Tian 1 Xijie Liu 1
Tingliang Fu 1* Hongzhen Liu 2*
Aiqun Xu 3* Xinling Han 4* Wenyu Feng 1* Lei Geng 1*- 1 Department of Pediatric Surgery, Binzhou Medical University Hospital, Binzhou, China
- 2 Department of Pediatric Surgery, Children's Hospital Affiliated to Shandong University, Ji nan, China
- 3 Department of Gynaecology and Obstetrics, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, Shandong Province, China
- 4 Department of General Surgery, Caoxian People's Hospital, Heze, China
Intrauterine ovarian torsion with autoamputation (IOTA) in fetuses was uncommon. The vague and nonspecific symptomatology of IOTA makes early diagnosis challenging. The potential complications, such as hemorrhagic infarction of the adnexal structures with the subsequent sequelae, may occur. And therapeutic options, such as conservative or surgical management, for IOTA remain uncertain in the literature. We reported three cases of IOTA, two of them complicated with peritoneal adhesion or spontaneous bacterial peritonitis, which were confirmed surgically and in laboratory studies. A suspected diagnosis of this uncommon entity was made preoperatively in two cases. Our case reports provided additional information about this rare condition, including complicated bacterial peritonitis, in neonates and infants with IOTA.The literature of imaging diagnosis and management options for IOTA was reviewed.
Keywords: Fetal ovarian cyst, Adnexal cyst, Antenatal ultrasound, Adnexal torsion, ovarian autoamputation, Bacterial peritonitis, Surgery
Received: 11 Oct 2024; Accepted: 27 Mar 2025.
Copyright: © 2025 Liu, Ding, Tian, Liu, Fu, Liu, Xu, Han, Feng and Geng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Tingliang Fu, Department of Pediatric Surgery, Binzhou Medical University Hospital, Binzhou, China
Hongzhen Liu, Department of Pediatric Surgery, Children's Hospital Affiliated to Shandong University, Ji nan, China
Aiqun Xu, Department of Gynaecology and Obstetrics, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, 264100, Shandong Province, China
Xinling Han, Department of General Surgery, Caoxian People's Hospital, Heze, 274400, China
Wenyu Feng, Department of Pediatric Surgery, Binzhou Medical University Hospital, Binzhou, China
Lei Geng, Department of Pediatric Surgery, Binzhou Medical University Hospital, Binzhou, China
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