Ryan Matthew F, Desai Bobby K
Department of Emergency Medicine, College of Medicine, University of Florida, P.O. Box 100186, Gainesville, FL 32610-0186, USA.
Case Rep Emerg Med. 2012;2012:679121. doi: 10.1155/2012/679121. Epub 2012 Jun 7.
Ovarian torsion represents a true surgical emergency. Prompt diagnosis is essential to ovarian salvage, and high clinical suspicion is important in this regard. Confounding the diagnosis in general are more commonly encountered abdominal complaints in the Emergency Department (ED) such as constipation, diarrhea, and urinary tract infections and more common surgical emergencies such as appendicitis. Prompt diagnosis can be further complicated in low-risk populations such as young children. Herein, we describe the case of a 5-year-old girl with a seemingly benign presentation of abdominal pain who was diagnosed in the ED and treated for acute ovarian torsion after two prior clinic visits. A brief discussion of evaluation, treatment, and management of ovarian torsion follows.
卵巢扭转是一种真正的外科急症。及时诊断对于挽救卵巢至关重要，在这方面高度的临床怀疑很重要。一般来说，急诊科（ED）中更常见的腹部主诉如便秘、腹泻和尿路感染，以及更常见的外科急症如阑尾炎，会混淆诊断。在低风险人群如幼儿中，及时诊断可能会进一步复杂化。在此，我们描述了一名5岁女孩的病例，她以看似良性的腹痛表现就诊于急诊科，在之前两次门诊就诊后被诊断为急性卵巢扭转并接受治疗。随后将对卵巢扭转的评估、治疗和管理进行简要讨论。
