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October 1982

Neonatal Ovarian Torsion

Author Affiliations

Veterans Administration Medical Center New Orleans

Am J Dis Child. 1982;136(10):945-946. doi:10.1001/archpedi.1982.03970460075017

Torsion with infarction of a single normal ovary is rare. Bilateral torsion in a neonate is most unusual.1,2 I describe a neonate with bilateral ovarian torsion who had massive abdominal swelling.

Report of a Case.—A 1-month-old female infant was admitted to a hospital in September 1978 for massive abdominal swelling. The infant, delivered vaginally at term, had been kept in the nursery 11 days because of low birth weight (2,270 g) and a nonspecific neonatal dermatitis. Five days before this hospital admission, abdominal swelling and irritability developed for which a phenobarbital, hyoscyamine sulfate, atropine sulfate, and hyoscine hydrobromide combination in 23% alcohol and simethicone were prescribed.

At admission, the infant appeared small for her age. Pulse rate was 160 beats per minute, respirations were 46/min and labored, and temperature was 36.6 °C. The abdomen was grossly distended, and prominent veins were visible over its surface. The abdominal organs