Abstract
BACKGROUND: Ovarian torsion in children causes abdominal pain. The clinical symptoms resemble other abdominal diseases, such as appendicitis. It happens when the ovary twists on its ligamentous attachment, which stops blood from getting to the ovary. A fast diagnosis accompanied by a high level of clinical suspicion and immediate surgical intervention is obligatory to save the ovaries and avoid complications. CASE PRESENTATION: In this case study, we describe a case of ovarian torsion in an 8-year-old Iranian girl who came with persistent (non-colicky) right-side abdominal pain. After ultrasonographic examinations, she was identified with an enlarged heterogeneous right ovary indicative of ovarian torsion and underwent emergency laparotomy without oophorectomy. CONCLUSION: It may be challenging to determine the source of abdominal pain in pediatric patients, due to factors such as insufficiently comprehensive medical histories and examinations, limitations in con-ducting radiological procedures, as well as the comparatively diminished specificity of results in contrast to adult populations. If torsion is confirmed by ultrasonography, detorsion with\ without oophorectomy is advised for conservative treatment. This article presents a case study and a brief examination of the issues and complications associated with the identification and management of pediatric ovarian torsion.