Ovarian Torsion

Question 1

true/False

Ovarian Torsion is a SURGICAL EMERGENCY

Answer 1

TRUE

Question 2

Adnexal torsion is an ischemic condition almost always associated with what?

Answer 2

ovarian enlargement, generally due to ovarian cysts or masses.

Question 3

Nearly 70% of Ovarian torsions occur on what side?

Due to what?

Answer 3

the right side

Due to the increased length of the utero-ovarian ligament on the right.

Question 4

S/S of what issue?

(1) Classic
- -(a) Sudden onset severe unilateral lower abdominal pain
- -(b) May develop after episodes of exertion or athletics
(2) Atypical
- -(a) Half of patients
- -(b) Gradual onset of intermittent pain
- -(c) Nausea and vomiting – 70% of cases
3) Physical pain
- -(a) Unilateral lower abdominal tenderness with guarding
- -(b) Unilateral adnexal tenderness on bimanual exam
- —-1) About 30% of patients are bilaterally tender
- -(c) Possible palpable adnexal mass

Answer 4

Ovarian Torsion

Question 5

Treatment for Ovarian Torsion?

Answer 5

-When ovarian torsion is suspected prompt gynecological surgical
procedure is indicated.
1) Ovarian conservation with cystectomy
—-(a) Removal of cyst/mass from ovary

Question 6

True/False

Most ovaries are viable even if they have some necrosis at time of surgery.

Answer 6

True

Question 7

____ would be an indication for oophorectomy

Answer 7

Gross necrosis

Question 8

Disposition for Ovarian torsion

Answer 8

MEDEVAC to gynecology for anyone suspected of having ovarian torsion