Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-27T13:33:44.688Z Has data issue: false hasContentIssue false

Case 60 - A 16-Year-Old Female G0 Adolescent with Acute Pelvic Pain

Published online by Cambridge University Press:  19 November 2021

By
Sarah Hagood Milton
Edited by
Todd R. Jenkins ,
Lisa Keder ,
Abimola Famuyide ,
Kimberly S. Gecsi  and
David Chelmow
Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
Get access

Summary

A 16-year-old nulligravid female presents to the emergency department with abdominal pain. She reports the pain started suddenly two hours prior to arrival and is associated with nausea and vomiting. The pain comes and goes, is located in the right lower quadrant, and is described as sharp and stabbing. She rates the pain as nine out of ten. She denies fever, chills, urinary symptoms, diarrhea, and constipation. She reports never having been sexually active. She has no past medical or surgical history. She is not taking any medications and she has no known drug allergies.

Keywords

pelvic painovarian torsionadnexal massadolescentlaparoscopy
Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
 , pp. 183 - 185
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Guthrie, BD, Adler, MD, Powell, EC. Incidence and trends of pediatric ovarian torsion hospitalizations in the United States, 2000–2006. Pediatrics 2010; 125: 532–8.CrossRefGoogle ScholarPubMed
Kives, S, Gascon, S, Dubuc, E, Van Eyk, N. No. 341-diagnosis and management of adnexal torsion in children, adolescents, and adults. J Obstet Gynaecol Can 2017; 39: 82–90.CrossRefGoogle ScholarPubMed
Sasaki, KJ, Miller, CE. Adnexal torsion: review of the literature. J Minim Invasive Gynecol 2014; 21: 196–202.CrossRefGoogle ScholarPubMed
Pansky, M, Smorgick, N, Herman, A, Schneider, D, Halperin, R. Torsion of normal adnexa in postmenarchal women and risk of recurrence. Obstet Gynecol 2007; 109: 355–9.CrossRefGoogle ScholarPubMed
Adnexal torsion in adolescents: ACOG Committee Opinion No, 783. Obstet Gynecol 2019; 134: e56–63.CrossRefGoogle Scholar
Gasser, CR, Gehri, M, Joseph, JM, Pauchard, JY. Is it ovarian torsion? A systemic literature review and evaluation of prediction signs. Pediatr Emerg Care 2016; 32(4): 256–61.Google Scholar
Shadinger, L, Andreotti, R, Kurian, R. Preoperative sonographic and clinical characteristics as predictors of ovarian torsion J Ultrasound Med 2008; 27(1): 7–13.CrossRefGoogle ScholarPubMed
Hartley, J, Akhtar, M, Edi-Osagie, E. Oophoropexy for recurrent ovarian torsion. Case Rep Obstet Gynecol 2018; 2018: 8784958.Google ScholarPubMed
Nagel, TC, Sebastian, J, Malo, JW. Oophoropexy to prevent sequential or recurrent torsion. J Am Assoc Gynecol Laparosc 1997; 4: 495–8.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×