A Case Report of Pediatric Ovarian Torsion: The Importance of Diagnostic Laparoscopy

Abstract

Pediatric ovarian torsion is a relatively rare occurrence with chances of significant morbidity and possible mortality if not treated emergently.Case Report: In this report, we review a case of pediatric ovarian torsion in a nine-year-old that was difficult to diagnose on initial presentation to the hospital due to various factors, which inevitably led to delayed resolution. Conclusion:We discuss the diagnosis of pediatric ovarian torsion including risk factors, symptoms, imaging modalities, and surgical diagnostics. To improve diagnosis and shorten time to treatment, this case supports the use of laparoscopy for diagnosis of ovarian torsion if indicated by clinical suspicion and supplemental imaging studies.

Intraoperative Utilization of Indocyanine Green (ICG) Dye for the Assessment of Ovarian Perfusion—Case Report and Review of the Literature

“…Patient groups associated with ovarian torsion include women undergoing fertilization treatments [ 2 ]. Several case reports of ovarian torsion in pregnant patients and in the pediatric population [ 3 , 4 , 5 , 6 ] have been published. Furthermore, several studies reveal that right-sided torsions are more common [ 7 , 8 ].…”

Frequency and Causes of Pediatric Ovarian Torsion: A Systematic Review

“…Pediatric ovarian torsion can be difficult to diagnose. 4 Ovarian torsion is one of the most ordinary gynecological surgical emergencies. 5 Torsion can be incomplete or complete, with some degrees of impaired circulation.…”