Ovarian torsion Flashcards

1
Q

Define ovarian torsion.

A

Ovarian torsion is a twisting, or torsion, of the ovary around its ligamentous supports.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the aetiology of ovarian torsion? What are risk factors of ovarian torsion?

A

Underlying anatomical abnormalities account for the highest percentage of patients with ovarian torsion. Just over half (56%) of patients in a large series of adnexal torsion had an ovarian mass, mostly with benign histology, including dermoid cysts and para-ovarian cysts. The likelihood of a malignancy is greater in post-menopausal women.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Summarise the epidemiology of ovarian torsion.

A

Ovarian torsion is thought to account for approximately 3% of all gynaecological surgical emergencies.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the signs and symptoms of ovarian torsion?

A

Pelvic or abdominal pain

Nausea, vomiting, or diarrhoea

Abdominal/pelvic tenderness

Palpable adnexal mass

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What investigations should be performed for ovarian torsion?

A

Pregnancy test

Urinalysis

FBC

Group and save

Sickle cell test

Transvaginal ultrasound

Abdominal or transrectal ultrasound

Doppler flow

PCR, nucleic acid amplification test, or cervical culture

Surgical visualisation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the management for ovarian torsion?

A

Surgical detorsion or salpingo-oophorectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are complications associated with ovarian torsion? What is the prognosis for ovarian torsion?

A

Ovarian atrophy

Peritonitis

Excellent prognosis and retention of ovarian function is expected with timely surgical intervention.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly