Ovarian torsion

Revision as of 08:18, 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%

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