An unusual cause of right lower quadrant pain in a prepubertal child.
The clinical course of a five-year-old girl with right lower abdominal pain is presented. The differential diagnosis of right lower quadrant abdominal pain in a prepubertal child and a discussion of this child's diagnosis, ovarian torsion, are provided. The need always to consider gynecologic disease in any female patient presenting with a history of colicky lower abdominal pain or an acute abdomen is emphasized.
Fosarelli
P
P
Department of Pediatrics, Johns Hopkins Medical Institute, Baltimore.
Beaver
B
B
Shenker
A
A
D000006:Abdomen, Acute / Q000209:etiology*; D001064:Appendicitis / Q000175:diagnosis*; D002675:Child, Preschool; D003537:Cystadenoma / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis*; D010051:Ovarian Neoplasms / Q000150:complications / Q000175:diagnosis*; D012422:Rupture, Spontaneous / Q000175:diagnosis; D014102:Torsion Abnormality