Clinical Pediatric Emergency Medicine
Volume 10, Issue 1 , Pages 31-37, March 2009

Ovarian Torsion in the Pediatric Emergency Department: Making the Diagnosis and the Importance of Advocacy

  • Jennifer Anders, MD

      Affiliations

    • Corresponding Author InformationReprint requests and correspondence: Jennifer Anders, MD, Division of Pediatric Emergency Medicine, Johns Hopkins Children's Center, CMSC-144, 600 N Wolfe St, Baltimore, MD 21287.

Division of Pediatric Emergency Medicine, Johns Hopkins Children's Center, Baltimore, MD

Ovarian torsion is a rare occurrence, but it is frequently considered in the differential diagnosis of a female with abdominal pain. A thorough knowledge of the pathophysiology, clinical presentation, and imaging options will allow the emergency department (ED) provider to facilitate rapid diagnosis and thus improve outcomes. In addition to these topics, success rates of detorsion and the argument for ovarian-sparing surgery are reviewed. The ED provider is encouraged to educate patients regarding these options and to advocate for ovarian-preserving procedures.

Keywords: ovarian torsion, adolescent, ultrasound

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PII: S1522-8401(09)00004-4

doi:10.1016/j.cpem.2009.01.001

Clinical Pediatric Emergency Medicine
Volume 10, Issue 1 , Pages 31-37, March 2009

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