{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:10:10Z","timestamp":1756321810247,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,1,9]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Adnexal torsion is a rare cause of abdominal pain in middle childhood and, in general, the diagnosis is often delayed due to the lack of specificity of symptoms and imaging tests. We describe the case of a girl in middle childhood who came to the emergency department for pain in the right iliac fossa of approximately 15 hours of evolution associated with partial refusal of food intake and vomiting. The initial examination showed normal vital signs, a soft abdomen, pain on palpation in the lower region, but no signs of peritoneal irritation, a mild leucocytosis with no other signs of infection and the initial abdominal ultrasound showed no objective pathology. Finally, after clinical worsening and a repeat imaging test, she was diagnosed with right ovarian torsion.<\/jats:p>","DOI":"10.1136\/bcr-2024-260115","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T12:10:48Z","timestamp":1737979848000},"page":"e260115","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Adnexal torsion in middle childhood: a rare cause of abdominal pain"],"prefix":"10.1136","volume":"18","author":[{"given":"Cristina","family":"G\u00f3mez Campo","sequence":"first","affiliation":[{"name":"Pediatr\u00eda, Hospital Universitario de M\u00f3stoles, Mostoles, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5612-9028","authenticated-orcid":false,"given":"Ana","family":"G\u00f3mez-Carpintero Garc\u00eda","sequence":"additional","affiliation":[{"name":"Pediatr\u00eda, Hospital Universitario de M\u00f3stoles, Mostoles, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0109-0805","authenticated-orcid":false,"given":"Amanda","family":"Bermejo G\u00f3mez","sequence":"additional","affiliation":[{"name":"Pediatr\u00eda, Hospital Universitario de M\u00f3stoles, Mostoles, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Vidal Esteban","sequence":"additional","affiliation":[{"name":"Pediatr\u00eda, Hospital Universitario de M\u00f3stoles, Mostoles, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,1,27]]},"reference":[{"key":"2025082711303047000_18.1.e260115.1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-1360"},{"key":"2025082711303047000_18.1.e260115.2","first-page":"532","article-title":"Torsi\u00f3n anexial aguda en paciente de edad pedi\u00e1trica","volume":"125","author":"Bonachea-Pe\u00f1a","year":"2010","journal-title":"Revista Cubana de Obstetricia y Ginecolog\u00eda"},{"key":"2025082711303047000_18.1.e260115.3","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.suc.2016.08.008","article-title":"Pediatric Ovarian Torsion","volume":"97","author":"Childress","year":"2017","journal-title":"Surg Clin North Am"},{"key":"2025082711303047000_18.1.e260115.4","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.013311"},{"key":"2025082711303047000_18.1.e260115.5","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1590\/0100-3984.2016.0227","article-title":"Pediatric ovarian torsion: a diagnostic challenge","volume":"51","author":"Muralidharan","year":"2018","journal-title":"Radiol Bras"},{"key":"2025082711303047000_18.1.e260115.6","article-title":"Accuracy of Pelvic Ultrasound in Diagnosing Adnexal Torsion","volume":"2019","author":"Ghulmiyyah","year":"2019","journal-title":"Radiol Res Pract"},{"key":"2025082711303047000_18.1.e260115.7","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s12519-014-0536-3","article-title":"Update on the management of ovarian torsion in children and adolescents","volume":"11","author":"Nur Azurah","year":"2015","journal-title":"World J Pediatr"},{"key":"2025082711303047000_18.1.e260115.8","doi-asserted-by":"crossref","first-page":"e154","DOI":"10.1097\/PEC.0000000000001237","article-title":"Ovarian Torsion in a Pediatric Patient: The Importance of Repeat Imaging","volume":"35","author":"Skappak","year":"2019","journal-title":"Pediatr Emerg Care"},{"key":"2025082711303047000_18.1.e260115.9","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"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-260115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:30:40Z","timestamp":1756319440000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-260115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,27]]},"published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1136\/bcr-2024-260115"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-260115","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}