70. Ovarian Torsion: An Acute Presentation of Van Wyk and Grumbach Syndrome Secondary to Undiagnosed Hashimoto ’s Thyroiditis

Van Wyk and Grumbach syndrome is characterized by primary hypothyroidism, precocious puberty, delayed bone age and ovarian enlargement. This case demonstrates an unusual presentation of the disorder, with acute abdominal pain and ovarian torsion. Large bilateral multicystic ovaries presenting with torsion can be due to severe hypothyroidism, and hormonal causes should be considered in the differential diagnosis, permitting ovarian preservation.

Source: Journal of Pediatric and Adolescent Gynecology - March 29, 2020 Category: OBGYN Authors: Luke Burns, Monica Rosen, Christine Pennesi, Adrian Araya, Adam Baruch, Meghan Arnold, Elisabeth Quint Source Type: research