Update on the management of ovarian torsion in children and adolescents

Nur Azurah Abdul Ghani, Zakaria Wan Zainol, Ani Amelia Zainuddin, Pei Shan Lim, Aqmar Suraya Sulaiman, Beng Kwang Ng

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Ovarian torsion is commonly seen in young girls. Unfortunately it is often misdiagnosed because of its non-specific symptoms and lack of diagnostic modalities. This article focuses on the diagnostic challenge and also the changes in the management of ovarian torsion.

Data sources: We reviewed original reports on the management of ovarian torsion in young girls published from 1984 till 2014. A literature search was conducted by electronic scanning of five electronic database: MEDLINE, EMBASE, SCI, SSCI and CINAHL. In addition, relevant papers and review articles were hand-searched. The search was limited to English language and human studies. The search was conducted by combining the textwords “ovarian torsion”, “adnexal torsion”, “adolescents” and “oophoropexy”.

Results: There are no specific symptoms that can be identified as a pathognomonic feature of ovarian torsion. Ultrasound is a useful diagnostic tool, but it is not always reliable in absence of an enlarged ovary. Laparoscopic detorsion is recognized as the mainstay of treatment regardless the condition of the ovaries. Reports have shown favorable ovarian function after detorsion. The role of oopheropexy remains controversial.

Conclusions: Clinicians should be aware of ovarian torsion in girls presenting with abdominal pain. A timely management in this young population can help preserve their ovaries and fertility.

Original languageEnglish
Pages (from-to)35-40
Number of pages6
JournalWorld Journal of Pediatrics
Volume11
Issue number1
DOIs
Publication statusPublished - 2014

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Ovary
Information Storage and Retrieval
Diagnostic Errors
MEDLINE
Abdominal Pain
Fertility
Language
Databases
Population
Therapeutics

Keywords

  • adolescents
  • oophoropexy
  • ovarian torsion

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Update on the management of ovarian torsion in children and adolescents. / Abdul Ghani, Nur Azurah; Zainol, Zakaria Wan; Zainuddin, Ani Amelia; Lim, Pei Shan; Sulaiman, Aqmar Suraya; Ng, Beng Kwang.

In: World Journal of Pediatrics, Vol. 11, No. 1, 2014, p. 35-40.

Research output: Contribution to journalArticle

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