Prepubertal Age Group - Di erential Diagnosis
Abdominal palpation
bimanual rectoabdominal examination
Abdominal in location: can be confused with other abdominal masses
Acute pain: torsion.
The ovarian ligament becomes elongated as a result of the abdominal
location, thus creating a predisposition to torsion.
Abdominal palpation and bimanual rectoabdominal examination are
important in any child who has nonspeci c abdominal or pelvic
complaints.
An ovarian mass that is abdominal in location can be confused with
other abdominal masses occurring in children, such as Wilms' tumor or
neuroblastoma.
Acute pain is often associated with torsion. The ovarian ligament
becomes elongated as a result of the abdominal location of these
tumors, thus creating a predisposition to torsion.
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