Pediatric ovarian torsion: an uncommon clinical entity

Rajwani, Kapil; Mahomed, Anies

doi:10.1002/ccr3.174

Cited by 2 publications

(2 citation statements)

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“…A rare case of pediatric ovarian torsion in a premenarchal 13-year-old girl was reported by Rajwani and Mahomed [ 15 ]. This case presented with engorged massive edematous and hemorrhagic ovarian torsion treated with salpingo-oophorectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Adnexal torsion is most common among women aged 20–30 years [ 16 ]. Even though adnexal torsion is rare in premenarchal girls [ 15 ], it should be ruled out in patients presenting with signs and symptoms of an acute abdomen, such as those with suspected renal colic and acute appendicitis. Distinguishing between these 2 clinical entities may be challenging due to the overlapping signs and symptoms; therefore, ultrasound should be obtained to confirm the clinical diagnosis and prevent misdiagnosis.…”

Section: Discussionmentioning

confidence: 99%

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Premenarchal Adolescent Female Ovarian Torsion: A Case of Delayed Diagnosis

et al. 2021

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Patient: Female, 11-year-old Final Diagnosis: Ovarian Symptoms: Abdomenal • pain Medication: — Clinical Procedure: — Specialty: Surgery Objective: Mistake in diagnosis Background: Ovarian torsion is a rare surgical emergency in premenarchal girls. Early diagnosis and surgical detorsion are required to restore blood flow and limit tissue damage. Case Report: Here, we present a case of ovarian torsion and appendicitis in an 11-year-old premenarchal girl who presented to our emergency room with a 4-day history of right iliac fossa pain, limping, and fever. Upon initial evaluation in our hospital, her vital signs were stable and clinical examination revealed abdominal guarding and right lower quadrant rebound tenderness with positive Rovsing’s sign. Abdominal ultrasound and computed tomography scans showed adnexal cysts and torsion, an inflamed appendix, and free fluid in the abdomen. Intraoperative findings included a twisted gangrenous ovary and an edematous appendix. The patient underwent emergency laparoscopic oophorectomy and appendectomy. Conclusions: This case demonstrates that reactive appendicitis can occur secondary to inflammation of adjacent structures such as the ovary.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%