Difference between revisions of "Ovarian torsion"

Line 8: Line 8:
 
*Sudden and sharp pain in the lower abdomen ~ 59%
 
*Sudden and sharp pain in the lower abdomen ~ 59%
 
*Fever ~ <2%
 
*Fever ~ <2%
 +
 +
==DDx==
 +
*Ectopic pregnancy
 +
*Ruptured or hemorrhagic cyst
 +
*Appendicitis
 +
*PID
 +
*Fibroid (degenerating)
 +
*Endometriosis
  
 
==Diagnosis==
 
==Diagnosis==
 
*Ultrasound
 
*Ultrasound
**Can show adnexal mass, cul-de-sac free fluid, dimished/absent doppler flow
+
**Diminished or absent blood flow in the ovarian vessels
*CT
+
**Ovarian mass
**Can show enlarged adnexa,
 
 
 
==DDx==
 
 
 
  
 
==Treatment==
 
==Treatment==
 
+
*Emergent OB/GYN consult in ED
==See Also==
 
 
 
  
 
==Source==
 
==Source==

Revision as of 08:18, 24 April 2012

Background

  • Occurs in females of all ages (most common in reproductive age women)
  • Ovarian cysts 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%
  • Fever ~ <2%

DDx

  • Ectopic pregnancy
  • Ruptured or hemorrhagic cyst
  • Appendicitis
  • PID
  • Fibroid (degenerating)
  • Endometriosis

Diagnosis

  • Ultrasound
    • Diminished or absent blood flow in the ovarian vessels
    • Ovarian mass

Treatment

  • Emergent OB/GYN consult in ED

Source

  • UpToDate