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

Détails

ID Serval
serval:BIB_5D9D24D3E854
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Is It Ovarian Torsion? A Systematic Literature Review and Evaluation of Prediction Signs.
Périodique
Pediatric emergency care
Auteur⸱e⸱s
Rey-Bellet Gasser C., Gehri M., Joseph J.M., Pauchard J.Y.
ISSN
1535-1815 (Electronic)
ISSN-L
0749-5161
Statut éditorial
Publié
Date de publication
04/2016
Peer-reviewed
Oui
Volume
32
Numéro
4
Pages
256-261
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Document Type: Review
Publication types: Journal Article ; Review

Résumé
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.

Mots-clé
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
Création de la notice
20/02/2016 16:39
Dernière modification de la notice
21/08/2019 6:34
Données d'usage