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A number of cases of ovarian cysts with twisted pedicles in girls below the age of fourteen are to be found in medical literature. Nevertheless, there is a common liability of overlooking this condition and in differentiating it from the more common inflammatory conditions in the lower abdomen. The following case should be of interest:
—B. S., female, aged 13; had never menstruated, but for three months past had complained of periodic attacks of pain, usually at the end of each month, starting in the right knee, appearing in the thigh and groin of the same side. Right hip-joint was normal. A physician diagnosed the first attack one of appendicitis but operation was refused. On the evening of March 31 she had a similar attack with a sharp pain in the right iliac region; developed fever and vomited. She was examined next morning, but her physician could
BORNSTEIN M. TORSION OF PEDICLE OF AN OVARIAN CYSTOMA IN A YOUNG GIRL. JAMA. 1909;LIII(14):1102. doi:10.1001/jama.1909.92550140030003g
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