{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:16:03Z","timestamp":1777594563811,"version":"3.51.4"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Ovarian torsion is an uncommon but serious cause of acute abdominal pain in children. Due to its nonspecific symptoms and diagnostic difficulties, timely identification and intervention are crucial to preserving ovarian function and future fertility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 13-year-old woman presented a 3-day history of pain and vomiting from the right iliac fossa. Clinical examination revealed localized tenderness without abdominal contracture or palpable masses. Laboratory results were unremarkable, and imaging showed a simple 5 cm unilocular ovarian cyst with hyperechoic content and an enlarged right ovary. Laparotomy confirmed a right ovarian torsion with a necrotic ovary. Despite detorsion, no reperfusion was observed, necessitating a right adnexectomy. The postoperative course was straightforward.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Ovarian torsion is rare but poses a significant diagnostic challenge due to its variable clinical and radiological presentation. The primary diagnostic tool is ultrasound, often supplemented by Doppler imaging, although the absence of a Doppler signal does not rule out torsion. Differential diagnoses include appendicitis, hemorrhagic cysts, and other conditions that mimic acute abdomen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Early recognition and management are essential, particularly in young patients, to mitigate long-term reproductive consequences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111007","type":"journal-article","created":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T02:19:49Z","timestamp":1738549189000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Ovarian torsion in an adolescent: A case report and review of diagnostic challenges"],"prefix":"10.1097","volume":"128","author":[{"given":"Aicha","family":"Chebil","sequence":"first","affiliation":[{"name":"Department of Gynecology, Hadj Ali Soua Hospital, Ksar Hellal, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yosra","family":"Jmaa","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Hadj Ali Soua Hospital, Ksar Hellal, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sirine","family":"Haouala","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Hadj Ali Soua Hospital, Ksar Hellal, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Ali","family":"Chaouch","sequence":"additional","affiliation":[{"name":"Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fethi","family":"Jebali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayet","family":"Laajili","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Hadj Ali Soua Hospital, Ksar Hellal, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"3","key":"R1-33-20260325","first-page":"307","article-title":"Ducou Le pointe H. Imagerie des masses ovariennes avant la pubert\u00e9. Arch P\u00e9diatrie. 2008;15(5):783-785. (2) Shust NM, Hendricksen DK. Ovarian torsion : an unusual cause of abdominal pain in a young girl","volume":"13","author":"Balu,","year":"1995","journal-title":"Am. J. Emerg. Med."},{"issue":"2","key":"R2-33-20260325","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/0720-048X(95)00640-C","article-title":"Ultrasound and Doppler in the diagnosis of ovarian torsion","volume":"20","author":"Davis,","year":"1995","journal-title":"Eur. J. Radiol."},{"issue":"5","key":"R3-33-20260325","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REPORT (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int J Surg Lond Engl."},{"issue":"6","key":"R4-33-20260325","first-page":"1212","article-title":"Pediatric ovarian torsion : spectrum of imaging findings. RadioGraphics. 2017;37(6):1892-1908. (6) Oltmann SC, Fischer a, barber R, Huang R, Hicks B, Garcia N. Cannot exclude torsion : a 15-year review","volume":"44","author":"Sintim-Damoa,","year":"2009","journal-title":"J. Pediatr. Surg."},{"issue":"1","key":"R5-33-20260325","doi-asserted-by":"crossref","first-page":"185","DOI":"10.2214\/AJR.14.13426","article-title":"Imaging findings of fetal-neonatal ovarian cysts complicated with ovarian torsion and autoamputation","volume":"205","author":"Ozcan,","year":"2015","journal-title":"AJR Am. J. Roentgenol."},{"key":"R6-33-20260325","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/S1083-3188(02)00149-3","article-title":"Torsion of the fallopian tube in an adolescent female: a case report","volume":"15","author":"Rizk,","year":"2002","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"issue":"12","key":"R8-33-20260325","doi-asserted-by":"crossref","first-page":"1845","DOI":"10.1007\/s00247-015-3385-x","article-title":"Pediatric ovarian torsion : a pictorial review","volume":"45","author":"Ngo,","year":"2015","journal-title":"Pediatr. Radiol."},{"issue":"5","key":"R9-33-20260325","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1007\/s00247-007-0429-x","article-title":"Sonographic findings of ovarian torsion in children","volume":"37","author":"Servaes,","year":"2007","journal-title":"Pediatr. Radiol."},{"key":"R10-33-20260325","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/S1083-3188(02)00149-3","article-title":"Torsion of the fallopian tube in an adolescent female: a case report","volume":"15","author":"Rizk,","year":"2002","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"R11-33-20260325","doi-asserted-by":"crossref","DOI":"10.1007\/s00247-002-0721-8","article-title":"Isoloated fallopian tube torsion in an adolescent: CT features","author":"Bondioni,","year":"2002","journal-title":"Pediatr. Radiol."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225001932?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225001932?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T10:25:41Z","timestamp":1774434341000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":10,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2025.111007","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"2024-11-12","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-31","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}