Premenarchal Patients Present Differently: A Twist on the Typical Patient Presenting with Ovarian Torsion
Author / Expert
James M. Prieto, Karen M. Kling, Romeo C. Ignacio, Stephen W. Bickler, Timothy J. Fairbanks, Nicholas C. Saenz, Sneha I. Nicholson, David A. Lazar
Topic overview
Abstract
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
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