Intermittent Torsion of a Normal Ovary in a Child Associated with Use of a Trampoline

Yancey, L.

doi:10.1016/j.jemermed.2010.11.046

Cited by 13 publications

(14 citation statements)

References 15 publications

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“…In previous case reports of sport-related adnexal torsion, ovarian weightincreasing pathologies were identified. [10][11][12] However, the case we reported had no torsion-encouraging abnormality. There are two possible explanations for torsion of an otherwise-normal ovary.…”

Section: Discussionmentioning

confidence: 99%

“…There are two possible explanations for torsion of an otherwise-normal ovary. 12,13 First, there was increased room for the ovary to move and twist due to the relatively small uterus and disproportionately long utero-ovarian ligaments in prepubertal girls. Second, there were abrupt changes in intraabdominal pressure, and acceleration/deceleration movements associated with the abdominal contusion.…”

Section: Discussionmentioning

confidence: 99%

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A rare cause of acute abdomen after a sport-related blunt abdominal trauma – Torsion of a normal ovary in a pre-pubertal girl

Huang

Kuo

et al. 2014

Journal of Acute Medicine

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Adnexal torsion is an uncommon gynecological emergency which mostly occurs during productive ages and in adnexa with mass-increasing pathology or anatomical abnormality. We reported the first known case of torsion of a normal adnexa after a sport-related blunt abdominal trauma in a pre-pubertal girl. Adnexal torsion can happen in a pre-pubertal girl with normal adnexa. Common laboratory examinations provide little help and image studies can be suggestive but often not diagnostic. Early gynecological or surgical consultation is recommended in the context of a high level of clinical suspicion. Early surgical treatment is well codified and should be conservative by laparoscopy as possible.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A rare cause of acute abdomen after a sport-related blunt abdominal trauma – Torsion of a normal ovary in a pre-pubertal girl

Huang

Kuo

et al. 2014

Journal of Acute Medicine

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“…However, it has been reported that normal ovaries may twist around on their axis, with an incidence varying from 16% to 49% [3]. In the pediatric and adolescent age group, the twisting of a normal ovary is more common, and this may be caused by the greater length of the ovarian pedicle [4]. …”

Section: Introductionmentioning

confidence: 99%

“…Transabdominal ultrasound examination of pelvic organs in adolescents in whom the transvaginal route is not possible is mostly the crucial diagnostic tool. In spite of using laboratory analysis, Doppler flow studies, and sonography, the misdiagnosis of ovarian torsion is still frequent [4,5]. Fortunately, the presence of an ovarian mass in an adolescent girl complicated with abdominal pain alerts the physician to the possibility of ovarian torsion.…”

Section: Introductionmentioning

confidence: 99%

“…Also, the examination with ultrasound in cases of intra-ovarian mass makes the diagnosis more feasible. The possible mechanisms for torsion of a normal ovary are sudden acceleration/deceleration movements, severe vomiting, and coughing that lead to an increase of intraabdominal pressure and hypoplasia of the uterus or Mullerian agenesis [4,8]. …”

Section: Introductionmentioning

confidence: 99%

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Ovarian Torsion in the Normal Ovary: A Diagnostic Challenge in Postmenarchal Adolescent Girls in the Emergency Department

et al. 2017

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BackgroundOvarian torsion can be seen in the otherwise-normal ovary and is a challenging issue in the emergency department. The aims were (1) to evaluate and compare the surgically verified ovarian torsion cases in otherwise-normal ovaries and ovaries including a mass or cyst and (2) to investigate whether the normal-appearing ovaries on ultrasound examination affected the diagnosis of ovarian torsion or not.Material/MethodsA retrospective cohort study design was used. The medical records of all postmenarchal adolescent girls with surgically verified ovarian torsion treated in a university hospital from 2010 to 2016 were reviewed.ResultsTwenty-nine post-menarchal girls were identified. The subjects were divided into two groups. Eight girls (group 1) had ovarian torsion in a normal ovary, and twenty-one girls (group 2) had ovarian torsion including a mass or cyst. The median ages of group 1 and 2 were 13 and 14 years, respectively. Abdominal pain was the main presenting symptom for all cases in both groups. Doppler flow studies were abnormal in 6/9 (66.6%) in group 1 and 12/21 (57.1%) in group 2. The time from first admission to the operation was statistically longer in group 1 than in group 2 (34.5±24.3 hours vs. 19.5±9.2 hours, respectively; p=0.001). The longitudinal axis of uterine size was significantly shorter in group 1 than in group 2 (34.3±2.9 mm vs. 47.6±4.5 mm, respectively; p=0.001).ConclusionsOvarian torsion in adolescent girls can be seen within the otherwise-normal ovary. The normal-appearing ovaries on ultrasound in the emergency department may lead to delay in the diagnosis of ovarian torsion in adolescent girls.

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Renal and genitourinary

Berz

Erdmann

2023

The Youth Athlete

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Intermittent Torsion of a Normal Ovary in a Child Associated with Use of a Trampoline

Cited by 13 publications

References 15 publications

A rare cause of acute abdomen after a sport-related blunt abdominal trauma – Torsion of a normal ovary in a pre-pubertal girl

A rare cause of acute abdomen after a sport-related blunt abdominal trauma – Torsion of a normal ovary in a pre-pubertal girl

Ovarian Torsion in the Normal Ovary: A Diagnostic Challenge in Postmenarchal Adolescent Girls in the Emergency Department

Renal and genitourinary

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