[Pedicle torsion, hemorrhagic ovarian infarct. A rare cause of pediatric acute abdomen].
The most common cause of acute abdomen in a child is acute appendicitis followed by mesenteric lymphadenitis, invagination, strangulation-ileus as a result of volvulus and more rarely perforated Meckel's diverticulum. However even with a child, from a differential diagnosis' aspect, a gynaecological cause should be taken in account too. From time to time one comes across a polycystic-alterated, with twisted lig. ovarii, haemorrhagic and infarctioned ovary without any endocrinological or other pathological irregularities which produces these complaints and symptoms. In the following casuistic such an instance is described.
Chirurgische und Unfallchirurgische Abteilung, Wilhelm-Anton-Hospitals Goch.
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Lindecken
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Adolph
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Paterakis
D000006:Abdomen, Acute / Q000097:blood / Q000209:etiology* / Q000601:surgery*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D012739:Gonadal Steroid Hormones / Q000097:blood; D006470:Hemorrhage / Q000097:blood / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007238:Infarction / Q000097:blood / Q000209:etiology* / Q000601:surgery*; D010052:Ovariectomy; D010053:Ovary / Q000098:blood supply*; D011085:Polycystic Ovary Syndrome / Q000097:blood / Q000150:complications* / Q000601:surgery*; D011183:Postoperative Complications / Q000097:blood; D014102:Torsion Abnormality
D012739:Gonadal Steroid Hormones
Stielgedrehtes, hämorrhagisch infarziertes Ovar. Eine seltene Ursache des kindlichen akuten Abdomens.