An Insidious Cause of Abdominal Pain in a Preschooler Girl: The Asynchronous Bilateral Ovarian Torsion.

The ovarian torsion (OT) represents one of the most misleading and challenging diagnoses for the pediatrician. Symptoms are often nonspecific, including sudden, piercing localized lower abdominal pain and tenderness associated with a palpable mass and peritoneal signs. Although the adnexal torsion is most frequently unilateral, cases of bilateral synchronous or asynchronous have been recorded; in the latter, the OT involved both ovaries at different settings.

[Spontaneous hematoma of the rectus abdominis muscle. A case report].

A case of rectus sheath haematoma and essential thrombocytosis during anticoagulation treatment is described. The difficulties encountered in reaching a clinical, differential diagnosis between rectus sheath haematoma and other abdominal acute conditions are stressed. Computed tomography may prevent inappropriate surgical treatment and its role is emphasized.