{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:52:05Z","timestamp":1756385525206},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>A previously healthy 10-year-old girl presented to the emergency department with a 1-day history of abdominal pain. She was afebrile with an elevated white blood cell count and a negative pelvic ultrasound. The pain resolved while in hospital, and the patient was discharged home. The patient returned 10 days later, and the pain now migrated from the left flank to the subumbilical region. The patient now had an elevated white blood cell count and C-reactive protein. On pelvic ultrasound, the patient had a large midline mass and a normal right ovary. The patient was taken to the operating room where she was found to have a torted and necrotic left ovary and fallopian tube, which were removed. There are few instances where pediatric ovarian torsion presents as intermittent episodes of abdominal pain. Emergency physicians should always have a high index of suspicion for ovarian torsion in any case of abdominal\/pelvic pain in young girls with previous negative imaging.<\/jats:p>","DOI":"10.1097\/pec.0000000000001237","type":"journal-article","created":{"date-parts":[[2017,7,4]],"date-time":"2017-07-04T16:37:01Z","timestamp":1499186221000},"page":"e154-e155","source":"Crossref","is-referenced-by-count":3,"title":["Ovarian Torsion in a Pediatric Patient"],"prefix":"10.1097","volume":"35","author":[{"given":"Christopher","family":"Skappak","sequence":"first","affiliation":[{"name":"Emergency Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jackie L.","family":"Thurston","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"April J.","family":"Kam","sequence":"additional","affiliation":[{"name":"Division of Pediatric Emergency Medicine, Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2017,7,4]]},"reference":[{"key":"bib1-20230930","doi-asserted-by":"crossref","first-page":"2071","DOI":"10.1016\/j.jpedsurg.2012.06.011","article-title":"Ovarian torsion: diagnosis of inclusion mandates earlier intervention","volume":"47","year":"2012","journal-title":"J Pediatr Surg"},{"key":"bib2-20230930","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1097\/PEC.0000000000000621","article-title":"Is it ovarian torsion? A systematic literature review and evaluation of prediction signs","volume":"32","year":"2016","journal-title":"Pediatr Emerg Care"},{"key":"bib3-20230930","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1053\/j.sempedsurg.2005.01.003","article-title":"Ovarian torsion","volume":"14","year":"2005","journal-title":"Semin Pediatr Surg"},{"key":"bib4-20230930","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","year":"2007","journal-title":"Pediatr Radiol"},{"key":"bib5-20230930","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.1016\/j.jpedsurg.2013.03.024","article-title":"The positive and negative predictive value of transabdominal color Doppler ultrasound for diagnosing ovarian torsion in pediatric patients","volume":"48","year":"2013","journal-title":"J Pediatr Surg"},{"key":"bib6-20230930","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/j.jpag.2014.10.001","article-title":"Surgical approach to ovarian torsion in children","volume":"28","year":"2015","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"bib7-20230930","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1177\/000313481508100914","article-title":"National trends in the surgical treatment of ovarian torsion in children: an analysis of 2041 pediatric patients utilizing the Nationwide Inpatient Sample","volume":"81","year":"2015","journal-title":"Am Surg"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006565-201908000-00021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T08:21:03Z","timestamp":1696062063000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006565-201908000-00021"}},"subtitle":["The Importance of Repeat Imaging"],"short-title":[],"issued":{"date-parts":[[2017,7,4]]},"references-count":7,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000001237","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2017,7,4]]}}}