Uterine Torsion Masquerading as Hydrometrosalpinx

Abstract Uterine torsion in childhood is rare. It seems to occur secondary to other pathology, namely the presence of an ovarian cyst. We discuss a 9-year-old child who presented in an insidious fashion with ultrasound findings compatible with hydrometrosalpinx. In our patient, the uterine torsion resulted in infarction of the right ovary, the tubes bilaterally, and the uterus. We describe our treatment of this child, and we hope that increased awareness might prevent future delays in diagnosis.