Ovarian Torsion Flashcards
1
Q
What is it?
A
Rotation of the ovary and part of the fallopian tube
Obstructs blood flow leading to oedema and arterial compromise
Leads to ischaemia which if not reversed causes ovarian necrosis
2
Q
What are the symptoms?
A
Sudden onset pelvic pain
- unilateral affecting RIF/LIF
- pain worsens over time
- intermittent if ovary untwisting
N&V
May find palpable mass
Abdo tenderness with guarding
3
Q
What investigations are required?
A
Urgent transvaginal US- whirlpool sign
4
Q
What is the management?
A
Surgical intervention
- emergency surgery- laparoscopy
- may require oophorectomy if ovary non-viable
