Is It Ovarian Torsion? A Systematic Literature Review and Evaluation of Prediction Signs.

Details

Serval ID
serval:BIB_5D9D24D3E854
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Is It Ovarian Torsion? A Systematic Literature Review and Evaluation of Prediction Signs.
Journal
Pediatric emergency care
Author(s)
Rey-Bellet Gasser C., Gehri M., Joseph J.M., Pauchard J.Y.
ISSN
1535-1815 (Electronic)
ISSN-L
0749-5161
Publication state
Published
Issued date
04/2016
Peer-reviewed
Oui
Volume
32
Number
4
Pages
256-261
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Document Type: Review
Publication types: Journal Article ; Review

Abstract
This study aimed to identify, through systematic literature review, the most reliable clinical, biological, and radiological signs of ovarian torsion in the pediatric population and to compare their diagnostic value.
This is a systematic review of the literature, searching MEDLINE, EMBASE, and Cochrane Databases for articles published between January 1990 and January 2014.
From the 946 references initially identified, 14 retrospective publications fulfilled the inclusion criteria, involving a total of 663 episodes of ovarian torsion. Sudden onset abdominal pain with nausea and/or vomiting is the most frequent symptom of ovarian torsion. It can occur at any age, not only in menarchal or perimenarchal patients. Abdominal tenderness is present in 88.4% of patients, whereas only 24% have a palpable mass. Blood tests are commonly requested (51.4% of cases) but are not diagnostic. Abnormalities on plain abdominal radiograph include masses, calcifications, and ossified images. Ultrasound has a sensitivity for ovarian torsion of 79% and computerized tomographic scan of 42.2%. There is a significant diagnostic delay at 101.8 hours (median).
Abdominal pain in children and adolescents is difficult to evaluate, and the diagnosis of ovarian torsion remains a challenge. Because of its potential complications, we need effective clinical tools. From our review of the literature, it was not possible to develop a diagnostic algorithm. Further research is needed to improve our practice and shorten the delay to diagnosis. Considering the low incidence of ovarian torsion, a multicenter prospective study would be required.

Keywords
Abdominal Pain/etiology, Adolescent, Child, Child, Preschool, Disease Management, Female, Humans, Infant, Infant, Newborn, Ovarian Diseases/diagnosis, Ovarian Diseases/therapy, Torsion Abnormality/diagnosis, Torsion Abnormality/therapy
Pubmed
Create date
20/02/2016 16:39
Last modification date
21/08/2019 6:34
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