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 Vol. 14 No. 3, September 2005
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AAP Grand Rounds 14:32-33 (2005)
© 2005 American Academy of Pediatrics

EMERGENCY MEDICINE

Ovarian Torsion: Salvage Possible Despite Prolonged Symptoms

Source: Anders JF, Powell EC. Urgency of evaluation and outcome of acute ovarian torsion in pediatric patients. Arch Pediatr Adolesc Med. 2005;159:532–535.[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

Ovarian torsion can be a difficult diagnosis to make in a young female because the differential diagnosis of abdominal pain includes a large number of surgical and non-surgical conditions. Previous studies of ovarian torsion have concluded that ovarian salvage was unlikely after 8 hours of abdominal pain and that most cases of ovarian torsion were caused by pathologic ovarian features.1–3 Researchers from the Emergency Medicine Division, Department of Pediatrics at the Northwestern University Feinberg School of Medicine in Chicago, Ill reviewed the medical records of children with the diagnosis of acute ovarian torsion who underwent operative treatment during a 15-year period (October 1987 – April 2003) to determine the ovarian salvage rate . . . [Full Text of this Article]

Ronald I. Paul, MD, FAAP
Pediatric Emergency Medicine, University of Louisville, Louisville, KY