ArticleMedicine2017
Ovarian torsion in children: Development of a predictive score.
Article in Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Ovarian torsion in the pediatric population: predictive factors for ovarian-sparing surgery-an international retrospective multicenter study and a systematic review.Archives of gynecology and obstetrics · 2023Pooled it
- Development and validation of a predictive nomogram for pediatric ovarian torsion: a retrospective cohort study.Translational pediatrics · 2026Article
- Preservation vs. Resection? Pediatric and Non-Pediatric Management Patterns in Ovarian Torsion.Pediatric reports · 2026Article
- Ovarian volume estimation in girls using rapid MR imaging for right lower quadrant pain.Pediatric radiology · 2025Article
- Construction and validation of a machine learning model integrating ultrasound features and inflammatory markers (OVART-ML) for predicting ovarian torsion and ischemic necrosis risk in children.Frontiers in pediatrics · 2025Article
- The Role of Neutrophyl-to-Lymphocyte Ratio as a Predictor of Ovarian Torsion in Children: Results of a Multicentric Study.Life (Basel, Switzerland) · 2024Article
- Pregnancy-Associated Ovarian Torsion - a Single-Center Case-Control Study.Reproductive sciences (Thousand Oaks, Calif.) · 2023Article
- Characteristics of ovarian necrosis in the neonatal ovarian tumor: a single-center retrospective study and review of literature.Pediatric surgery international · 2022Review
- Ovarian torsion: diagnosis, surgery, and fertility preservation in the pediatric population.European journal of pediatrics · 2022Review
- Characteristics and Risk Factors for Ischemic Ovary Torsion in Children.Children (Basel, Switzerland) · 2022Article
- Diagnosis and Management of Pediatric Ovarian Torsion in the Emergency Department: Current Insights.Open access emergency medicine : OAEM · 2022Review
- A Case Report of Pediatric Ovarian Torsion: The Importance of Diagnostic Laparoscopy.Clinical practice and cases in emergency medicine · 2021Article
- Ovarian torsion and laparoscopy in the paediatric and adolescent population.BMJ case reports · 2020Review
- Non-visualization of the ovaries on pediatric transabdominal ultrasound with a non-distended bladder: Can adnexal torsion be excluded?Pediatric radiology · 2019Article
- Adnexal Torsion in Pediatric Age: Does Bolli's Score Work? Report of Two Cases.Case reports in obstetrics and gynecology · 2019Article
- Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this study was to identify clinical signs and symptoms of ovarian torsion (OT) in children and to develop a simple predictive score.A chart review of patients with acute adnexal pathologies treated at the University Children's Hospital Basel, Switzerland, between March 2006 and June 2015 was performed. Medical records were screened for demographic and clinical data. These included clinical symptoms, laboratory studies, imaging, and type of treatment. The diagnosis OT was defined as intraoperative visualization of the torsed ovary around its pedicle at least 360 degrees. Variables predictive for OT were identified and the following score for the likelihood of having OT was developed: age (points = number of years) minus 3 points (if vomitus = "yes") and plus 1 point (if "pain duration >12 hours").A total of 80 patients with acute adnexal pathologies were identified. OT was recorded in 17 (21%) cases and ovarian cysts (OC) only in 63 (79%) cases. Patients who presented with OT were significantly younger than patients with OC only (P = .001). Correspondingly, 11 (65%) of the patients with OT had no menarche compared to 3 (5%) patients with OC only (P = .001). Vomiting (P = .001), a shorter pain duration (P = .01), and an elevated C-reactive protein (CRP) (P = .01) were observed significantly more often in patients with OT. The sensitivity of a positive OT score was 0.81 and increased to 1.00 if restricted to girls between 2 to 12 years of age.The presence of vomiting, short duration of abdominal pain, and elevated CRP level have a predictive value for the diagnosis of OT. In these patients, an exploratory laparoscopy should be conducted without delay. The presented OT score appears to be a helpful tool in diagnosing OT in children.
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Registered trials
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