Premenarchal Patients Present Differently: A Twist on the Typical Patient Presenting with Ovarian Torsion

This single-center study of 127 pediatric ovarian torsion cases reveals that premenarchal patients face distinct clinical challenges: 38% experience diagnostic delays versus 20% in postmenarchal patients, 44% present without an identifiable adnexal mass, and they suffer higher rates of ovarian necrosis (34% vs 17%).