{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:40:02Z","timestamp":1756312802554,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T00:00:00Z","timestamp":1613520000000},"content-version":"unspecified","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,2,4]]},"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:p>A 7-year-old girl presented with a 2-day history of right iliac fossa pain, fever and elevated inflammatory markers. Clinical examination supported a diagnosis of appendicitis. The patient was taken to theatre for an open appendicectomy the following morning. Intraoperatively, a right-sided ovarian haemorrhagic cyst with 360 degrees torsion was discovered. The ovary was torted along with the cyst. Both were detorted and the abdomen was closed. The patient was discharged 48 hours later, with gynaecology outpatient follow-up 6\u20138 weeks later. Paediatric ovarian torsions caused by a haemorrhagic cyst greater than 2 cm are rare. Here, we discuss an atypical presentation of ovarian torsion and how the clinical presentation can mimic appendicitis.<\/jats:p>","DOI":"10.1136\/bcr-2020-239188","type":"journal-article","created":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T11:18:11Z","timestamp":1613560691000},"page":"e239188","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Paediatric cystic ovarian torsion masquerading appendicitis"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0122-9213","authenticated-orcid":false,"given":"Smriti","family":"Kapoor","sequence":"first","affiliation":[{"name":"General Surgery, Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shoaib","family":"Saeed","sequence":"additional","affiliation":[{"name":"General Surgery, Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dinesh","family":"Balasubramaniam","sequence":"additional","affiliation":[{"name":"General Surgery, Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,2,17]]},"reference":[{"key":"2025082709045568000_14.2.e239188.1","doi-asserted-by":"crossref","first-page":"1387","DOI":"10.1016\/j.jpedsurg.2017.10.053","article-title":"Ovarian torsion in pediatric and adolescent patients: a systematic review","volume":"53","author":"Dasgupta","year":"2018","journal-title":"J Pediatr Surg"},{"key":"2025082709045568000_14.2.e239188.2","first-page":"434","article-title":"Prepubertal ovarian cyst formation: 5 years' experience","volume":"81","author":"Millar","year":"1993","journal-title":"Obstet Gynecol"},{"key":"2025082709045568000_14.2.e239188.3","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1067\/j.cpradiol.2016.12.010","article-title":"Imaging of Acute Pelvic Pain in Girls: Ovarian Torsion and Beyond\u2606","volume":"46","author":"Naffaa","year":"2017","journal-title":"Curr Probl Diagn Radiol"},{"key":"2025082709045568000_14.2.e239188.4","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.pedneo.2010.12.002","article-title":"Ovarian torsion caused by teratoma masquerading as perforated appendicitis in a 5-year-old girl","volume":"52","author":"Tsai","year":"2011","journal-title":"Pediatr Neonatol"},{"doi-asserted-by":"publisher","key":"2025082709045568000_14.2.e239188.5","DOI":"10.1016\/S0002-9610(00)00503-1"},{"key":"2025082709045568000_14.2.e239188.6","doi-asserted-by":"crossref","first-page":"e27","DOI":"10.1016\/j.jemermed.2008.05.018","article-title":"Ovarian torsion in a three-year-old girl","volume":"38","author":"Ochsner","year":"2010","journal-title":"J Emerg Med"},{"key":"2025082709045568000_14.2.e239188.7","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1016\/j.jpag.2015.03.010","article-title":"Presentation, diagnosis, and treatment of ovarian torsion in Premenarchal girls","volume":"28","author":"Ashwal","year":"2015","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"2025082709045568000_14.2.e239188.8","doi-asserted-by":"crossref","first-page":"e17","DOI":"10.1016\/j.jpedsurg.2005.05.068","article-title":"Ovarian torsion associated with appendicitis in a 5-year-old girl: a case report and review of the literature","volume":"40","author":"Hoey","year":"2005","journal-title":"J Pediatr Surg"},{"doi-asserted-by":"publisher","key":"2025082709045568000_14.2.e239188.9","DOI":"10.1016\/j.jpedsurg.2008.11.058"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-239188","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:05:02Z","timestamp":1756310702000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-239188"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,2,17]]},"published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1136\/bcr-2020-239188"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-239188","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,2]]}}}