An 8-year-old female with abdominal pain

Ioannis Stathis, Maria Raissaki


An 8-year-old female patient, with an unremarkable past medical history, presented at the emergency department with acute onset of abdominal pain, without fever, and one episode of vomiting. Pain occurred 8 hours previously, was localised over the right lower quadrant and was intermittent. Laboratory studies showed elevated white blood cells (17,000/mL). Pelvic Ultrasound scan (US) (Figs. 1, 2) and Magnetic Resonance Imaging (MRI) (Figs. 3-5) were performed.


Abdominal pain; Ovarian torsion; Ultrasound; Magnetic Resonance Imaging; Child

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Chang HC, Bhatt S, Dogra S. Pearls and pitfalls in diagnosis of ovarian torsion. Radiographics 2008; 28: 1355-1368.

Otjen JP, Stanescu AL, Alessio AM, et al. Ovarian torsion: developing a machine-learned algorithm for diagnosis. Pediatr Radiol 2020; 50: 706-714.

Sintim-Damoa A, Majmudar A, Cohen H, et al. Pediatric ovarian torsion: Spectrum of imaging findings. Radiographics 2017; 37: 1892-1908.

Riccabona M, Lobo M, Ording-Muller L, et al. ESPR Abdominal imaging task force recommendations in paediatric uroradiology, part IX: Imaging in anorectal and cloacal malformation, imaging in childhood ovarian torsion, and efforts in standardizing paediatric uroradiology terminology. Pediatr Rad 2017; 47: 1369-1380.

Ssi-Yan-Kai G, Rivain AL, Trichot C, et al. What every radiologist should know about adnexal torsion. Emerg Radiol 2018; 25: 51-59.

Bekci, T, Polat AV, Aslan K, et al. Diagnostic performance of diffusion-weighted MRI in the diagnosis of ovarian torsion: comparison of torsed and nonaffected ovaries. Clinical Imaging 2016; 40: 1029-1033.

Duigenan S, Oliva E, Lee S. Ovarian torsion: Diagnostic features on CT and MRI with pathologic correlation. AJR Am J Roentgenol 2012; 198: W122-W131.

Nebot CS, Salvador RL, Palacios EC, et al. Enteric duplication cysts in children: varied presentations, varied imaging findings. Insights Imaging 2018; 9(6): 1097-1106.

Walker SK, Lal DR, Boyd KP, et al. Management of pediatric ovarian torsion: evidence of follicular development after ovarian preservation. Surgery 2018; 163(3): 547-552.

Hyttel TE, Bak GS, Larsen SB, et al. Re-torsion of the ovaries. Acta Obstet Gynecol Scand 2015; 94(3): 236-244.



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