Is It Ovarian Torsion? A Systematic Literature Review and Evaluation of Prediction Signs.
Objectives: 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.Methods: This is a systematic review of the literature, searching MEDLIN...
| Publicado en: | Pediatric Emergency Care Vol. 32; no. 4; pp. 256 - 262 |
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| Autores principales: | , , , |
| Formato: | research systematic review Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Apr2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117139094&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 117139094 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07495161 4FD jtl: Pediatric Emergency Care issn: 07495161 maglogo: N pubinfo: dt: Apr2016 vid: 32 iid: 4 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 117139094 117139094 NLM26855342 114493790 10.1097/PEC.0000000000000621 NLM26855342 117139094 ppf: 256 ppct: 6 formats: tig: atl: Is It Ovarian Torsion? A Systematic Literature Review and Evaluation of Prediction Signs. aug: au: Rey-Bellet Gasser, Celine Gehri, Mario Joseph, Jean-Marc Pauchard, Jean-Yves affil: From the Divisions of *Pediatric Emergency Medicine, †Pediatric Medicine, and ‡Pediatric Surgery, Department of Pediatrics, Children's Hospital, Lausanne, Switzerland sug: subj: Ovarian Diseases Diagnosis Torsion Abnormality Diagnosis Child Abdominal Pain Etiology Human Infant, Newborn Infant Torsion Abnormality Therapy Child, Preschool Disease Management Ovarian Diseases Therapy Adolescence Female Systematic Review Child: 6-12 years Infant, Newborn: birth-1 month Infant: 1-23 months Child, Preschool: 2-5 years Adolescent: 13-18 years Female ab: Objectives: 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.Methods: This is a systematic review of the literature, searching MEDLINE, EMBASE, and Cochrane Databases for articles published between January 1990 and January 2014.Results: 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).Conclusions: 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. pubtype: Academic Journal doctype: research systematic review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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