Ovarian torsion among girls presenting with abdominal pain: A retrospective cohort study

Abstract

Background: Ovarian torsion (OT) is an important cause of abdominal pain in girls. Prompt recognition of OT may lead to higher rates of ovarian salvage. Objective: To identify clinical and laboratory findings that may indicate OT among girls with abdominal pain. Methods Retrospective review of two cohorts of girls aged 5-17 years admitted to a children's hospital. Cohort 1: Girls admitted with abdominal pain from the emergency department (2008). Cohort 2: Girls with a discharge diagnosis of OT (2003-9). Results Cohort 1: 325 girls were admitted from the emergency department with abdominal pain during 2008. Of these, 9 (3%) were diagnosed with OT. Cohort 2: 37 girls were diagnosed with OT dur..