article: 93

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rowid title DOI URL created subject references-count is-referenced-by-count ISSN container-title abstract author_number orcids names award_numbers funder_names funder_dois
93 ["Analysis of the risk of ovarian torsion in 49 consecutive pediatric patients treated at a single institution"] 10.1136/wjps-2018-000009 2019-06-05T21:11:19Z [] 15 0 ["2516-5410"] World Journal of Pediatric Surgery <jats:sec><jats:title>Purpose</jats:title><jats:p>An early diagnosis of ovarian torsion is sometimes difficult due to variable clinical symptoms and non-specific imaging findings. We retrospectively reviewed patients with pediatric ovarian masses manifesting torsion.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Fifty-eight ovarian masses (55 episodes) in 49 non-neonatal patients treated from April 1984 to March 2017 were retrospectively analyzed. The Mann-Whitney U test and Fisher’s exact test were used for the statistical analysis.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The median age of these 55 episodes was 10.5 years old (range 1.0–23.0). Thirty-three patients presented with abdominal pain. Forty-five tumors and 13 cystic masses were resected and diagnosed pathologically (50 benign and 8 malignant). Torsion was identified in 15 cases (25.9%) at operation. The torsion masses were all benign, and 8 ovaries (53.3%) were successfully preserved. Comparing the torsion cases with the non-torsion cases, only the white cell count was significantly higher in the torsion cases (p=0.0133) and in the patients presented with abdominal pain (p=0.0068). The duration of abdominal pain was significantly shorter in ovary preserved cases than in oophorectomy cases.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The white blood cell may be a helpful indicator of the presence of torsion as well as the need for surgery.</jats:p></jats:sec> 13 [] ["Koshiro Sugita", "Takafumi Kawano", "Mukai Motoi", "Toshihiro Muraji", "Shun Onishi", "Tomoe Moriguchi", "Koji Yamada", "Waka Yamada", "Ryuta Masuya", "Seiro Machigashira", "Kazuhiko Nakame", "Tatsuru Kaji", "Satoshi Ieiri"] [""] [""] [""]