Ovarian torsion

Revision as of 08:01, 24 April 2012 by Jswartz (talk | contribs)

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%

Diagnosis

  • Ultrasound
    • Can show adnexal mass, cul-de-sac free fluid, dimished/absent doppler flow
  • CT
    • Can show enlarged adnexa,

DDx

Treatment

See Also

Source

  • UpToDate