Diagnosis and Management of Pediatric Ovarian Torsion in the Emergency Department: Current Insights.
POCUS
adnexal
ovary
point-of-care
Journal
Open access emergency medicine : OAEM
ISSN: 1179-1500
Titre abrégé: Open Access Emerg Med
Pays: New Zealand
ID NLM: 101570796
Informations de publication
Date de publication:
2022
2022
Historique:
received:
07
04
2022
accepted:
17
06
2022
entrez:
30
6
2022
pubmed:
1
7
2022
medline:
1
7
2022
Statut:
epublish
Résumé
Ovarian torsion is defined as twisting of the ovary around an axis consisting of its vascular pedicle, the infundibulopelvic ligament and the tubo-ovarian ligament, and can occur in females of any age. Torsion can be a result of ovarian mass causing asymmetry and subsequent torsion, or can be spontaneous. While ovarian torsion is a surgical emergency, early diagnosis and treatment can preserve ovarian viability even if necrosis is seen operatively. Presentation classically involves sudden onset severe abdominal pain and vomiting but diagnostic delay can follow subtler presentations. Diagnosis is most commonly based on sonographic findings, but advanced imaging such as CT or MRI may be required if sonography is not diagnostic. Treatment is surgical, with ovarian preservation preferred in almost all cases. In this review, I present the most recent evidence on epidemiology, diagnosis, and management of pediatric ovarian torsion, with a focus on point-of-care ultrasound for the emergency care provider.
Identifiants
pubmed: 35770141
doi: 10.2147/OAEM.S342725
pii: 342725
pmc: PMC9236466
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
283-291Informations de copyright
© 2022 Scheier.
Déclaration de conflit d'intérêts
The author reports no conflicts of interest in this work.
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