Pediatric Adnexal Torsion: Not Just a Postmenarchal Problem

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

doi:10.1016/j.jemermed.2016.08.020

Cited by 23 publications

(15 citation statements)

References 31 publications

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“…Ultrasound is the gold standard imaging modality to evaluate for ovarian torsion. 1 The torsed ovary is most commonly with a maximum diameter between 4 cm 2 and 6 cm, with a wide confidence interval. 3 Age-specific normal values for ovarian size are not well established, and the suspected ovary should always be compared to the unaffected side.…”

Section: Referencesmentioning

confidence: 99%

“…A recent review reported a median delay of 101 h from first physical examination to surgery, 4 and a study from a single institution reported an average delay for pre-menarchal patients of over 16 h from presentation to surgery. 1 While POCUS for the evaluation of ovarian torsion is within the scope of PED practice according to a recent guideline, 5 there are no prior case reports of ovarian torsion in children identified on POCUS.…”

Section: Referencesmentioning

confidence: 99%

“…Beta-blockers counteract the actions of adrenaline in anaphylaxis and some literature suggests not using them at all when acute coronary syndrome is suspected in the setting of anaphylaxis. 1 Even aspirin is potentially detrimental, producing more anaphylaxis mediators through cyclo-oxygenase inhibition. 1 These medicines are commonly used in the early hospital management of acute coronary syndrome, and it is unclear what the optimum management for patients with concurrent anaphylaxis and MI is.…”

mentioning

confidence: 99%

“…1 Even aspirin is potentially detrimental, producing more anaphylaxis mediators through cyclo-oxygenase inhibition. 1 These medicines are commonly used in the early hospital management of acute coronary syndrome, and it is unclear what the optimum management for patients with concurrent anaphylaxis and MI is. This case highlights the need to outweigh the relative urgency and risk of anaphylaxis and its treatment against the risks of acute coronary syndrome and its treatment.…”

mentioning

confidence: 99%

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Ovarian torsion identified on point‐of‐care ultrasound in the paediatric emergency department

Scheier

Balla

2019

Emerg Medicine Australasia

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Section: Referencesmentioning

confidence: 99%

Section: Referencesmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Ovarian torsion identified on point‐of‐care ultrasound in the paediatric emergency department

Scheier

Balla

2019

Emerg Medicine Australasia

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“…Correct diagnosis requires great caution and experience because of it is rarity and non-specific symptoms. The most common symptoms were listed as abdominal pain, vomiting, and fever in pediatric case series ( 6 ) . Also, bowel and bladder problems, lower abdominal mass diagnosed during examination, and elevated WBCs may be other symptoms ( 7 ) .…”

Section: Literature Reviewmentioning

confidence: 99%

Isolated tubal torsion: Successful preoperative diagnosis of five cases using ultrasound and management with laparoscopy

Fadıloğlu

Dur

Demirdağ

et al. 2017

tjod

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Our aim was to evaluate the presentation and diagnostic evaluation of patients with isolated tubal torsion and to evaluate the surgical approach to these patients. We also aimed to define the ultrasonographic diagnostic criteria. Five patients with isolated tubal torsion who were admitted to our gynecology department between January 2014 and January 2017 were evaluated and included in this study. All cases were diagnosed through ultrasonographic imaging alone. The preoperative findings of the patients were similar to those described in the literature. No further imaging modality was used for diagnosis and all patients were managed with laparoscopy. The clinical findings and ultrasonographic findings were consistent with literature. It may be difficult to preoperatively diagnose isolated tubal torsion, which is a rare clinical entity. Evaluation of these patients by an experienced sonographer and knowledge of the ultrasonographic findings of isolated tubal torsion may have vital preventive measures.

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