Pediatric Adnexal Torsion: Not Just a Postmenarchal Problem

Schuh, A.; Klein, Eileen J.; Allred, Rebecca J.; Christensen, Ana; Brown, Julie V.

doi:10.1016/j.jemermed.2017.08.070

Cited by 9 publications

(16 citation statements)

References 7 publications

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“…Therefore, early diagnosis and treatment are essential. 8 Narayanan et al reported their preoperative radiological evaluation in their study with 10 pediatric patients who underwent surgery because of ITT. They preoperatively diagnosed 9 patients (five by ultrasound, four by tomography).…”

Section: Discussionmentioning

confidence: 99%

Isolated Tubal Torsion: A Rare Cause of Acute Abdomen in Childhood

et al. 2018

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Isolated fallopian tube torsion is a rare cause of acute abdomen mostly seen in women of reproductive age. It is often diagnosed during surgery. In this study we aimed to present a case of isolated fallopian tube torsion in a child. An 11-year-old girl presented with abdominal pain. With the help of radiological evaluation we diagnosed. It should be kept in mind that even if ovarian blood flow is normal in girls with abdominal pain, it may be an isolated tubular torsion and requires immediate intervention.

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Section: Discussionmentioning

confidence: 99%

Isolated Tubal Torsion: A Rare Cause of Acute Abdomen in Childhood

et al. 2018

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“…Regarding the duration of pain, patients were divided into two groups, according to the recent literature [6]: the first group consisted of children who reported a time of onset of the symptoms shorter than 24 h, while the second group was composed of girls who reported a time of onset of the symptoms longer than 24 h before admission. Pain was reported using NRS scale from 0 (no pain) to 10 (worst pain ever) and pain severity was then classified as mild (score 1-3), moderate (4-6) and severe (7-10) [7]. Regarding the size of the twisted ovary seen on the transabdominal ultrasound (US), in accordance with the literature [8], we considered a 5 cm diameter as cut-off for a significant adnexal enlargement.…”

Section: Methodsmentioning

confidence: 99%

Ovarian torsion in the pediatric population: predictive factors for ovarian-sparing surgery—an international retrospective multicenter study and a systematic review

Spinelli

Tröbs

Nissen

et al. 2022

Arch Gynecol Obstet

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Study objective Ovarian torsion (OT) in pediatric age is a challenging condition to diagnose and treat. To date, there is still no clear consensus about its management. Our aim was to assess some possible associated factors that can help surgeons in decision-making. Design We conducted a retrospective multicentric study of pediatric OT surgically treated between 2010 and 2020 in six Italian and German institutions, comparing our findings with a literature review of the last 10 years (2010–2020). Participants Patients aged 0–18 years with a diagnosis of OT intraoperatively confirmed and surgically treated at the involved institutions. Results Ninety-seven patients with a mean age at diagnosis of 8.37 years were enrolled in the study. Severe abdominal pain was present in 82 patients (84.5%). Eighty children (82.5%) presented an enlarged ovary with an US diameter > 5 cm and only 32 (40%) of them underwent conservative surgery. A laparoscopic approach was performed in 60 cases (61.9%) although in 15 (15.5%) conversion to open surgery was deemed necessary. A functional cyst was present in 49 patients (50.5%) while 11 children (11.3%) suffered from OT on a normal ovary. Conclusions Our results showed that a post-menarchal age (p = .001), a pre-operative US ovarian size < 5 cm, (p = .001), the presence of severe abdominal pain (p = .002), a laparoscopic approach (p < .001), and the presence of a functional cyst (p = .002) were significantly associated with conservative surgery.

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“…We found the article from Schuh et al very interesting because of the wide number of adnexal torsion in the young female population. However, data from this study deserve several considerations (1).…”

Section: Pediatric Adnexal Torsionmentioning

confidence: 96%