Ovarian Torsion

Question 1

What is a common presentation of ovarian torsion?

Answer 1

Intermittent adnexal pain that becomes constant over hours to weeks. Plus Large adnexal mass, approximately 8 x 12 cm.

NBME may provide varying time frames for pain duration.

Question 2

What alternative presentation may be seen in some cases of ovarian torsion?

Answer 2

A few-hour history of constant pain without prior intermittent detail. Plus Large adnexal mass, approximately 8 x 12 cm.

Question 3

What key detail is typically absent in cases of ovarian torsion?

Answer 3

Fluid in the pouch of Douglas.

Presence of fluid may suggest other conditions.

Question 4

What is the treatment for ovarian torsion?

Answer 4

Laparoscopic detorsion.

This is the standard surgical intervention.

Question 5

What is the biggest risk factor for ovarian torsion?

Answer 5

A pre-existing anatomic abnormality, such as a cyst.

Question 6

If a patient has a history of a cyst and now presents with a large adnexal mass and pain, what condition should be suspected?

Answer 6

Ovarian torsion.

This helps distinguish it from a ruptured cyst.