Difference between revisions of "Ovarian torsion"

(worry for torsion in ovarian cysts > 5mm)
(Clincal diagnosis)
Line 19: Line 19:
  
 
==Diagnosis==
 
==Diagnosis==
*Ultrasound
+
*Ultrasound (sensitivty 46-70%)
 
**Diminished or absent blood flow in the ovarian vessels
 
**Diminished or absent blood flow in the ovarian vessels
 
**Ovarian mass
 
**Ovarian mass
 +
*Gold standard: direct visualization!
  
 
==Treatment==
 
==Treatment==

Revision as of 22:15, 21 September 2013

Background

  • Occurs in females of all ages (most common in reproductive age women)
  • Ovarian cysts (usually > 5 mm) and neoplasms account for 94% of cases in adults
    • Account for only 50% in children (much more likely to torse normal ovaries)

Clinical Features

  • Nausea/vomiting ~ 70%
  • Sudden and sharp pain in the lower abdomen ~ 59%
    • can be intermittent
  • Fever ~ <2%

DDx

Diagnosis

  • Ultrasound (sensitivty 46-70%)
    • Diminished or absent blood flow in the ovarian vessels
    • Ovarian mass
  • Gold standard: direct visualization!

Treatment

  • Emergent OB/GYN consult in ED

Source

  • UpToDate