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Ovarian torsion is a rare,albeit important cause of abdominal pain as it may lead to ovarian necrosis ifnot resolved. Although it has been described in all ages, it is very rare inyoung children. The primary symptom is abdominal pain, and due to the abundancehereof in a pediatric setting and the significant overlap in the clinicalmanifestations between ovarian torsion and more common entities such asappendicitis, a high level of suspicion needs to be maintained. We report thecase of a young girl with a history of severe abdominal pain. A primaryhospitalization at the age of 1? years resolved quickly and spontaneouslywithout any imaging. At the age of 2 yearsand 10 months, she was once again hospitalized for severe abdominalpain. A CT scan shoved a large dermoid cyst and possible torsion of the ovary.An exploratory laparotomy confirmed the diagnosis and oophorectomy wasperformed. Histopathological examination of the cyst demonstrated a 5 × 5 × 6 cm mature cystic teratomawithout malignancy. This case illustrates how a high level of suspicion forovarian torsion needs to be maintained, even in otherwise healthy children.


Childhood Ovarian Torsion; Mature Cystic Teratoma; Dermoid Cyst

Cite this paper

Mantoni, M. and Lausten-Thomsen, U. 2013 Ovarian torsion—A course for severe abdominal pain in children. Open Journal of Pediatrics, 3, 403-405. doi: 10.4236-ojped.2013.34073.

Autor: Maria Kirstine Braendholt Wessel Mantoni, Ulrik Lausten-Thomsen

Fuente: http://www.scirp.org/


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