Paediatric cystic ovarian torsion masquerading appendicitis

Abstract

A 7-year-old girl presented with a 2-day history of right iliac fossa pain, fever and elevated inflammatory markers. Clinical examination supported a diagnosis of appendicitis. The patient was taken to theatre for an open appendicectomy the following morning. Intraoperatively, a right-sided ovarian haemorrhagic cyst with 360 degrees torsion was discovered. The ovary was torted along with the cyst. Both were detorted and the abdomen was closed. The patient was discharged 48 hours later, with gynaecology outpatient follow-up 6–8 weeks later. Paediatric ovarian torsions caused by a haemorrhagic cyst greater than 2 cm are rare. Here, we discuss an atypical presentation of ovarian torsion and how the clinical presentation can mimic appendicitis.

Enhancing Pediatric Adnexal Torsion Diagnosis: Prediction Method Utilizing Machine Learning Techniques

“…The study investigates the application of machine learning in general, and specifically support vector machine (SVM) techniques, to improve the diagnosis of pediatric adnexal torsion, a condition often mistaken for acute appendicitis due to their similar symptoms. Many incidents have been reported of intraoperative finding of adnexal torsion in presumptive diagnosis of acute appendicitis [15], even when radiological studies such as ultrasound and CT scan were performed preoperatively [16] Prior research in the field has examined the use of machine learning in the context of diagnosing adnexal torsion (AT) among pediatric patients [13]. While some studies have explored the potential of machine learning, it is essential to highlight that none of the existing literature specifically addressed the application of support vector machine (SVM)…”

“…The study investigates the application of machine learning in general, and specifically support vector machine (SVM) techniques, to improve the diagnosis of pediatric adnexal torsion, a condition often mistaken for acute appendicitis due to their similar symptoms. Many incidents have been reported of intraoperative finding of adnexal torsion in presump-tive diagnosis of acute appendicitis [15], even when radiological studies such as ultrasound and CT scan were performed preoperatively [16].…”