Ovarian Torsion Masquerading As Appendicitis In A Nine Year Old Child-A Case Report
Keywords:
Ovarian Torsion, Pediatric Age, Conservative Approach
Abstract
Ovarian torsion is an infrequent diagnosis in the pediatric age group. The clinical picture is nonspecific in children, which often makes the diagnosis a challenge. We present a case of a nine year old girl who presented with a two day history of fever, vomiting and acute abdominal pain. Initial diagnosis of acute appendicitis was made, however, on operative exploration, she was found to have a right adnexal torsion and detorsion was done. Ovarian torsion should be considered as differential diagnosis in pediatric and adolescent females presenting with abdominal pain. However, early recognition and prompt management yield significant reduction in morbidity and an increased likelihood of ovarian salvage to maximize the future reproductive potential.
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References
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18. Mordehai J, Mares AJ, Barki Y, et al. Torsion of uterine adnexa in neonates and children: a report of 20 cases. J Pediatr Surg. 1991; 26:1195–9.
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2. Poonai N, Poonai C, Lim R, Lynch T. Pediatric ovarian torsion: case series and review of the literature. Can J Surg. 2013 Apr;56(2):103-8. doi: 10.1503/cjs.013311. [PubMed]
3. Hoey BA, Stawicki SP, Hoff WS, Veeramasuneni RK, Kovich H, Grossman MD. J Pediatr Surg. Ovarian torsion associated with appendicitis in a 5-year-old girl: a case report and review of the literature .2005 Sep;40(9):e17-20. [PubMed]
4.Hibbard, L.T. Adnexal torsion. Am J Obstet Gynecol. 1985; 152: 456–461. DOI: http://dx.doi.org/10.1016/S0002-9378(85)80157-5.[PubMed]
5. Guthrie BD, Adler MD, Powell EC. Incidence and trends of pediatric ovarian torsion hospitalizations in the United States, 2000-2006. Pediatrics 2010; 125:532-8.
6. Huchon C, Fauconnier A. Adnexal torsion: a literature review. Eur J Obstet Gynecol Reprod Biol 2010;150:8–12.[PubMed]
7. Kamio M, Oki T, Inomoto Y, Tsuji T, Yoshinaga M, Douchi T. Torsion of the normal ovary and oviduct in a pre-pubertal girl. J Obstet Gynaecol Res 2007; 33:87–90.[PubMed]
8. Matthew F. Ryan and Bobby K. Desai, “Ovarian Torsion in a 5-Year Old: A Case Report and Review,” Case Reports in Emergency Medicine, vol. 2012, Article ID 679121, 3 pages, 2012. doi:10.1155/2012/679121.
9. Spinelli C, Di Giacomo M, Mucci N, Massart F. Hemorrhagic corpus luteum cysts: an unusual problem for pediatric surgeons. J Pediatr Adolesc Gynecol 2009; 22:163–167. [PubMed]
10. Spinelli C, Di Giacomo M, Cei M, Mucci N. Functional ovarian lesions in children and adolescents: when to remove them. Gynecol Endocrinol 2009; 25:294–298. [PubMed]
11. Aziz D, Davis V, Allen L, et al. Ovarian torsion in children: Is oophorectomy necessary? J Pediatr Surg.2004;39:750–3. [PubMed]
12. Descargues G, Tinlot-Mauger F, Gravier A, Lemoine JP, Marpeau L. Adnexal torsion: a report on forty-five cases. Eur J Obstet Gynecol Reprod Biol 2001; 98:91 –96.
13. Pomeranz AJ1, Sabnis S. Misdiagnoses of ovarian masses in children and adolescents. Pediatr Emerg Care. 2004 Mar ;20(3):172-4. [PubMed]
14. Krupinska, E., Klimanek-Sygnet, M., and Chilarski, A. Rare coexistence of phlegmonous appendicitis and tumor of a twisted left ovary. Ginekol Pol. 2003; 74: 307–311.
15. Spigland, N., Ducharme, J.C., and Yazbeck, S. Adnexal torsion in children. J Pediatr Surg. 1989; 24: 974–976. [PubMed]
16. Vijayaraghavan SB, “Sonographic whirlpool sign in ovarian torsion,” Journal of Ultrasound in Medicine, 2004;vol. 23, no. 12, pp. 1643-49. [PubMed]
17. Rousseau V, Massicot R, Darwish A, et al. Emergency management and conservative surgery of ovarian torsion in children: a report of 40 cases. J Pediatr Adolesc Gynecol. 2008; 21:201–6. [PubMed]
18. Mordehai J, Mares AJ, Barki Y, et al. Torsion of uterine adnexa in neonates and children: a report of 20 cases. J Pediatr Surg. 1991; 26:1195–9.
19. Kokoska, E.R., Keller, M.S., and Weber, T.R. Acute ovarian torsion in children. Am J Surg. 2000; 180: 462–465. [PubMed]
20. Agarwal P, Agarwal P, Bagdi R, Balagopal S, Ramasundaram M, Paramaswamy B. Ovarian preservation in children for adenexal pathology, current trends in laparoscopic management and our experience. J Indian Assoc Pediatr Surg 2014; 19:65-9.
CITATION
DOI: 10.17511/ijmrr.2014.i06.22
Published: 2014-12-31
How to Cite
1.
M S, Shashidhar S, BP T. Ovarian Torsion Masquerading As Appendicitis In A Nine Year Old Child-A Case Report. Int J Med Res Rev [Internet]. 2014Dec.31 [cited 2024Nov.23];2(6):627-30. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/171
Section
Case Report
OAI - Open Archives Initiative
