Corre Alana, Dandekar Shebani, Lau Christopher, Ranasinghe Leonard
California Northstate University College of Medicine, Elk Grove, California.
Kaiser Permanente, Department of Emergency Medicine, Modesto, California.
Clin Pract Cases Emerg Med. 2021 Feb;5(1):109-112. doi: 10.5811/cpcem.2020.12.50319.
Pediatric ovarian torsion is a relatively rare occurrence with chances of significant morbidity and possible mortality if not treated emergently.
In this report, we review a case of pediatric ovarian torsion in a nine-year-old that was difficult to diagnose on initial presentation to the hospital due to various factors, which inevitably led to delayed resolution.
We discuss the diagnosis of pediatric ovarian torsion including risk factors, symptoms, imaging modalities, and surgical diagnostics. To improve diagnosis and shorten time to treatment, this case supports the use of laparoscopy for diagnosis of ovarian torsion if indicated by clinical suspicion and supplemental imaging studies.
小儿卵巢扭转相对少见，如果不紧急治疗，有发生严重并发症甚至死亡的风险。
在本报告中，我们回顾了一例9岁小儿卵巢扭转病例。该患儿因多种因素，初到医院时难以诊断，这不可避免地导致病情缓解延迟。
我们讨论了小儿卵巢扭转的诊断，包括危险因素、症状、影像学检查方法及手术诊断。为改善诊断并缩短治疗时间，本病例支持在临床怀疑并经补充影像学检查提示时，使用腹腔镜诊断卵巢扭转。
