Ovarian torsion

Ovarian torsion

Michael P Hopkins MD MEd; Jay R Patibandla MD

2019

1905-07

A twisting of the ovary and/or fallopian tube on its vascular and ligamentous supports, blocking adequate blood flow to the ovary. Rapid diagnosis and intervention are necessary to preserve ovarian function. Most often seen in women of reproductive age between 20 and 40 years, but can occur during pregnancy, as well as in infants, children, adolescents, and postmenopausal women. Commonly presents with abdominal pain, nausea, vomiting, and an abdominal mass. High clinical suspicion is necessary. Clinical presentation is nonspecific, with no absolute clinical profile. Transvaginal ultrasound with Doppler flow studies may show an enlarged ovary with absence of blood flow. Definitive diagnosis is surgical. Laparoscopic surgery with detorsion is the preferred treatment to preserve normal ovarian function and fertility.

Adnexal torsion; Fallopian tube torsion; Tubal torsion

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Journal Article

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NEOMED College of Medicine

Department of Obstetrics & Gynecology

Aultman Hospital