Ovarian torsion: clinical and imaging presentation in children.
Publication/Presentation Date
10-1-1995
Abstract
Ovarian torsion is uncommon and has a nonspecific clinical presentation. To determine the impact of imaging on clinical management, the authors reviewed their recent experience with 12 children who had a total of 13 episodes of ovarian torsion. Three children presented as neonates, six were premenarchal, and three were postmenarchal. Ultrasound was the imaging study of choice. In all three neonates, ultrasonography showed complex abdominopelvic cysts indicating the need for surgery. In five of 10 episodes in older patients, ultrasonography showed a solid mass with an appearance strongly suggestive of torsion. Same-day surgery was performed in three patients, and the involved ovary was salvaged in one. Another patient had a small piece of normal-appearing ovary left in situ. This low rate of ovarian salvage is attributable to the combination of delay in patient presentation and surgical delay owing to the often nonspecific clinical and imaging presentation of ovarian torsion. A high level of clinical suspicion, expeditious imaging, and familiarity with the varied clinical and imaging presentations of ovarian torsion should decrease the surgical delay and improve the likelihood of ovarian salvage.
Volume
30
Issue
10
First Page
1433
Last Page
1436
ISSN
0022-3468
Published In/Presented At
Meyer, J. S., Harmon, C. M., Harty, M. P., Markowitz, R. I., Hubbard, A. M., & Bellah, R. D. (1995). Ovarian torsion: clinical and imaging presentation in children. Journal of pediatric surgery, 30(10), 1433–1436. https://doi.org/10.1016/0022-3468(95)90399-2
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
8786481
Department(s)
Department of Pediatrics
Document Type
Article