From the Departments of Pediatrics.
Surgery, Hospital of Ciriè, Turin, Italy.
Pediatr Emerg Care. 2022 Jan 1;38(1):e61-e62. doi: 10.1097/PEC.0000000000002598.
The ovarian torsion (OT) represents one of the most misleading and challenging diagnoses for the pediatrician. Symptoms are often nonspecific, including sudden, piercing localized lower abdominal pain and tenderness associated with a palpable mass and peritoneal signs. Although the adnexal torsion is most frequently unilateral, cases of bilateral synchronous or asynchronous have been recorded; in the latter, the OT involved both ovaries at different settings. We reported the case of a 6-year-old girl who presented an asynchronous bilateral OT.
卵巢扭转（OT）是儿科医生最容易误诊和极具挑战性的诊断之一。症状通常不具有特异性，包括突然发生的、剧烈的局限性下腹痛和压痛，伴有可触及的肿块和腹膜刺激征。虽然附件扭转最常发生在单侧，但也有双侧同时或不同时发生的病例记录；在后一种情况下，OT 涉及两个卵巢的不同部位。我们报告了一例 6 岁女孩的病例，其表现为异步双侧 OT。
