Ovarian torsion

Revision as of 04:33, 13 September 2013 by Mcamilon (talk | contribs) (worry for torsion in ovarian cysts > 5mm)

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

Treatment

  • Emergent OB/GYN consult in ED

Source

  • UpToDate