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There is no correlation between the clinical presentation of the patient and the type of ovarian tumor which is causing it. Consequently, the imagistic examination of the patient is crucial in the diagnostic process, but it is not infallible. This study is attempting to emphasize the main differences between the imagistic features of the ovarian tumors compared to the ones discovered intraoperatively, as well as the associated conditions which could prevent getting a proper preoperative diagnosis. The information for the study was gathered retrospectively and it included all the patients admitted over a 5 year period for ovarian tumors. The cohort summed up 130 patients, 12% presenting ovarian teratomas and out of which only 3 presented malignant features. US examination provided the necessary information, if performed under proper conditions. CT and MRI scans were used only in tumoral staging purposes. In case of benign tumors, laparoscopic surgery was the preferred approach since 10% of the patients associated obesity and it allowed minimal manipulation of the ovaries. There was no statistically signifi cant difference between the ultrasound versus intraoperative fi ndings. Adnexal torsion remains an intraoperative diagnosis, consequently, it must be considered in any acute surgical abdomen, in patients presenting an ovarian mass.

Essential Aspects in Ensuring the Efficient Management of Ovarian Tumors in Children in Case of an Acute or Chronic Setting