Premenarchal Patients Present Differently: A Twist on the Typical Patient Presenting with Ovarian Torsion
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Read the article on jpedsurg.org ↗Article · Sep 2019 · 1 min read
In brief
In brief
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%).
Written by the GCMD Library team from the article.
Background/Purpose
The aim of this study was to characterize differences between pre- and postmenarchal females with ovarian torsion.
Methods
A single-center review was conducted of all nonneonatal pediatric patients with ovarian torsion from 2011 to 2018. Clinical data were compared between pre- and postmenarchal patients.
Results
One hundred and twenty-seven patients were identified, and 25% were premenarchal. Premenarchal patients were more likely to have a delay in diagnosis (38% vs 20%, p = 0.042), develop ovarian necrosis (34% vs 17%, p = 0.036), and present without an associated adnexal mass (44% vs 0%, p