Acute ovarian torsion and primary hypothyroidism

Abstract

A 12-year-old girl presented with acute abdominal pain due to an acute ovarian torsion. She required an oophorectomy. Clinical and laboratory assessment confirmed severe primary hypothyroidism. In this report, we review this rare complication of untreated primary hypothyroidism and the physiologic mechanisms proposed to explain this phenomenon.

Keywords: abdominal pain/diagnosis; child; female; humans; hypothyroidism/diagnosis; hypothyroidism/drug therapy; ovarian cysts/drug therapy; precocious/diagnosis; precocious/drug therapy; precocious/metabolism; puberty; thyroxine/therapeutic use.