ANALYSIS OF ANAMNESIS DATA AND CLINICAL MANIFESTATIONS OF OVARIAN APOPLEXY IN MINORS
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Abstract
Acute abdominal pain in children and adolescents remains one of the most challenging emergency conditions to diagnose in a timely manner in pediatric gynecology and surgery. In the vast majority of cases, the cause is surgical pathology (91.2%), among which ovarian apoplexy (OA, 12.5%) stands out. The treatment provided does not lead to complete recovery, as evidenced by the high frequency of complications: loss of part of the organ, infertility. The issues of the nonspecificity of the clinical manifestations of ovarian apoplexy, postoperative management, and risk factors, such as unprotected sexual activity among minors, remain debatable.
The aim of the study is a retrospective study aimed at establishing the prevalence, anamnestic data, and clinical manifestations of ovarian apoplexy in minors by studying and analyzing the medical documentation of the prof. V.K. Chaika Donetsk Republican Perinatal Center.
Materials and methods. A retrospective analysis was conducted of 41 patient case histories of females aged 12 to 18 who received treatment at the prof. V.K. Chaika Donetsk Republican Perinatal Center between 2023 and 2025. The diagnostics were carried out comprehensively, including ultrasound examination (US), laparoscopy, and morphological examination.
Results. There is a trend towards an increase in the frequency of OA in minors. The pain form of OA was more commonly observed at rest in 64% of cases (n = 16), while the hemorrhagic form developed predominantly after physical exertion in 81.25% of cases (n = 13). In 87.8% of cases (n = 36), symptoms characteristic of «acute abdomen» occurred in the second half of the menstrual cycle, with pain predominantly localized on the right side (58.6%). In sexually active patients (36.6%), sexually transmitted infections (STIs) were detected in 18.5% of cases. Long term consequences of acute ovarian failure include menstrual cycle disorders (73.2%) and chronic pelvic pain (60.9%), as well as infertility (40.0%).
Conclusion. To preserve the reproductive health of minors with acute ovarian failure, a comprehensive approach is required, taking into account clinical and anamnestic data, which makes it possible to implement a personalized management strategy and prevent complications.
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