Journal of Pediatric Case Reports

Ovarian Torsion

Journal of Pediatric Case Reports

Published December 24, 2025

DOI: 10.37549/JPCR-25-0045

Pooya Ganjali, BS1, Richard B. Towbin, MD2*, Carrie M. Schaefer, MD2, Alexander J. Towbin, MD3

1 California Health Sciences University College of Osteopathic Medicine, Clovis, California

2 Department of Radiology, Phoenix Children’s Hospital, Phoenix, Arizona

3 Department of Radiology, Cincinnati Children’s Hospital, University of Cincinnati College of Medicine, Cincinnati, Ohio

* Corresponding author: Richard B. Towbin (rtowbin@gmail.com)

Abstract

Ovarian torsion is a surgical emergency that occurs when the ovary twists around its adnexal ligaments, leading to possible ischemia and necrosis. It often presents with a sudden onset of unilateral lower abdominal pain and nausea/vomiting. Prompt and accurate diagnosis is crucial to save the ovary. Imaging is not specific. However, either US or MRI is often performed to help make the diagnosis and exclude other entities in the differential diagnosis. Laparoscopic detorsion is currently the preferred therapy.

Keywords: genitourinary, medical emergency, ovarian

Citation

Ganjali P, Towbin RB, Schaefer CM, Towbin AJ. Ovarian Torsion. Journal of Pediatric Case Reports. 2025. doi:10.37549/JPCR-25-0045.

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