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Background.- Torsion of ovary is approximately 3% of surgical emergencies in women. However it is rare in childhood. Prompt diagnosis and treatment may allow for preservation of adnexal structures and fertility. In cases of acute abdominal pain in girls a gynecological cause must always be considered. Torsion of a normal ovary is difficult to diagnose. This usually leads to a delayed treatment hesitating in hemorrhagic infarction and necrosis. Sonogram appears to be an excellent method to evaluate patients with suspected torsion of the ovary.
Observation.- A case of an 11-year-old girl with acute abdomen due to torsion of the left fallopian tube and ovary is presented. The diagnostic problems, differential diagnosis and treatment options are reviewed.