The feasibility of bedside transvaginal ultrasonography in non-pregnant women in the emergency department

Pediatric Ovarian Torsion on Point-of-Care Ultrasound

“…POCUS for adnexal pathology, using both transabdominal and intracavitary views, in an adult academic emergency department resulted in length of stay 162 minutes less than those who received radiology performed US, with no alternative diagnoses in a 2-week follow-up period 18 . A recent study of adult emergency department patients examined with point-of-care transvaginal sonography demonstrated that in 79% of patients both ovaries were visualized and that POCUS led to changes in plan in 43% of patients, with a similarly decreased length of stay 19 . Literature on pediatric ovarian torsion diagnosed with POCUS is currently limited to case reports 16,20,21 …”

“…18 A recent study of adult emergency department patients examined with point-of-care transvaginal sonography demonstrated that in 79% of patients both ovaries were visualized and that POCUS led to changes in plan in 43% of patients, with a similarly decreased length of stay. 19 Literature on pediatric ovarian torsion diagnosed with POCUS is currently limited to case reports. 16,20,21 Ovarian torsion can present with nonsevere pain or pain of several days duration, making ovarian torsion a particularly challenging diagnosis for the PEM physician.…”

Diagnosis and Management of Pediatric Ovarian Torsion in the Emergency Department: Current Insights

“… 28 A recent study of adult ED patients examined with point-of-care transvaginal sonography demonstrated that in 79% of patients both ovaries were visualized and that POCUS led to changes in plan in 43% of patients, with a similarly decreased LOS. 29 Literature on pediatric ovarian torsion diagnosed with POCUS is currently limited to case reports and a case series. 21 , 30–32 …”