Ovarian torsion is a rare,
albeit important cause of abdominal pain as it may lead to ovarian necrosis if
not resolved. Although it has been described in all ages, it is very rare in
young children. The primary symptom is abdominal pain, and due to the abundance
hereof in a pediatric setting and the significant overlap in the clinical
manifestations between ovarian torsion and more common entities such as
appendicitis, a high level of suspicion needs to be maintained. We report the
case of a young girl with a history of severe abdominal pain. A primary
hospitalization at the age of 1? years resolved quickly and spontaneously
without any imaging. At the age of 2 years
and 10 months, she was once again hospitalized for severe abdominal
pain. A CT scan shoved a large dermoid cyst and possible torsion of the ovary.
An exploratory laparotomy confirmed the diagnosis and oophorectomy was
performed. Histopathological examination of the cyst demonstrated a 5 × 5 × 6 cm mature cystic teratoma
without malignancy. This case illustrates how a high level of suspicion for
ovarian torsion needs to be maintained, even in otherwise healthy children.
Cite this paper
Mantoni, M. and Lausten-Thomsen, U. (2013) Ovarian torsion—A course for severe abdominal pain in children. Open Journal of Pediatrics
, 403-405. doi: 10.4236/ojped.2013.34073
 Hibbard, L.T. (1985) Adnexal torsion. American Journal of Obstetrics and Gynecology, 152, 456-461.
 Guthrie, B.D., Adler, M.D. and Powell, E.C. (2010) Incidence and trends of pediatric ovarian torsion hospitalizations in the United States, 2000-2006. Pediatrics, 125, 532-538. http://dx.doi.org/10. 1542/peds.2009-1360
 Schmitt, E.R. and Ngai, S.S. (2013) Twist and shout! Pediatric ovarien torsion clinical updata and case discussion. Pediatric Emergency Care, 29, 518-523.
 Rossi, B.V., Ference, E.H., Zurakowski, D., Scholz, S., Feins, N.R., Chow, J.S. and Laufer, M.R. (2012) The clinical presentation and surgical management of adnexal torsion in the pediatric and adolescent population. Journal of Pediatric and Adolescent Gynecology, 25, 109-113. http://dx.doi.org/10.1016/j. jpag.2011.10.006
 Celik, A., Ergün, O., Aldemir, H., Ozcan, C., Ozok, G., Erdener, A. and Balyk, E. (2005) Long-term results of conservative management of adnexal torsion in children. Journal of Pediatric Surgery, 40, 704-708.
 Berek, J.A. and Natarajan, S. (2007) Ovarian and fallopian tube cancer. In: Berek, J.S., Ed., Berek & Novak’s Gynecology, Lippincott Williams & Wilkins, Philadelphia, 1457-1547.
 Savasi, I., Lacy, J.A., Gerstle, J.T., Stephens, D., Kives, S. and Allan, L. (2009) Management of ovarian dermoid cyst in the pediatric and adolescent population. Journal of Pediatric and Adolescent Gynecology, 22, 360-364.