Case report-ovarian torsion in a child: a painful twist in the tale

Abstract

Ovarian torsion in children is a rare cause of acute abdominal pain and is a true surgical emergency. The clinical presentation closely resembles other pathologies such as urinary tract infections, gastroenteritis and more common surgical emergencies such as appendicitis. We present a case of previously healthy 6 year old female child who presented with abdominal pain, intermittent fever and vomiting. Ultrasonography of the abdomen and pelvis revealed features suggestive of ovarian torsion for which Subacute Laparoscopic Oophorectomy was performed. The authors would like to sensitize readers to the possibility of ovarian torsion in the paediatric populace and reiterate that timely diagnosis and management can prevent catastrophic sequelae.