Difference between revisions of "Ovarian torsion"

(DDx)
Line 10: Line 10:
  
 
==DDx==
 
==DDx==
*Ectopic pregnancy
+
*[[Ectopic Pregnancy]]
 
*Ruptured or hemorrhagic cyst
 
*Ruptured or hemorrhagic cyst
*Appendicitis
+
*[[Appendicitis]]
*PID
+
*[[PID]]
 
*Fibroid (degenerating)
 
*Fibroid (degenerating)
 
*Endometriosis
 
*Endometriosis

Revision as of 11:05, 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

Diagnosis

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

Treatment

  • Emergent OB/GYN consult in ED

Source

  • UpToDate