Difference between revisions of "Ovarian torsion"
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'''Ovarian torsion''' is a [[clinical diagnosis]] and gynecologic emergency. | '''Ovarian torsion''' is a [[clinical diagnosis]] and gynecologic emergency.<ref>{{Cite journal | last1 = Spinelli | first1 = C. | last2 = Piscioneri | first2 = J. | last3 = Strambi | first3 = S. | title = Adnexal torsion in adolescents: update and review of the literature. | journal = Curr Opin Obstet Gynecol | volume = 27 | issue = 5 | pages = 320-5 | month = Oct | year = 2015 | doi = 10.1097/GCO.0000000000000197 | PMID = 26204167 }}</ref> | ||
==General== | ==General== | ||
*May be presentation of an [[ovarian tumour]].<ref>{{Cite journal | last1 = Ates | first1 = S. | last2 = Sevket | first2 = O. | last3 = Sudolmus | first3 = S. | last4 = Sonmez | first4 = FC. | last5 = Dansuk | first5 = R. | title = Granulosa cell tumor presenting with ovarian torsion and de novo borderline mucinous ovarian tumor in the contralateral ovary. | journal = Eur J Gynaecol Oncol | volume = 36 | issue = 3 | pages = 354-5 | month = | year = 2015 | doi = | PMID = 26189271 }} | |||
</ref> | |||
Risk factors:<ref name=pmid26212687>{{Cite journal | last1 = Asfour | first1 = V. | last2 = Varma | first2 = R. | last3 = Menon | first3 = P. | title = Clinical risk factors for ovarian torsion. | journal = J Obstet Gynaecol | volume = | issue = | pages = 1-5 | month = Aug | year = 2015 | doi = 10.3109/01443615.2015.1004524 | PMID = 26212687 }} | |||
</ref> | |||
*[[Pregnancy]] (odds ratio 18:1). | |||
*Ovarian cysts. | |||
Typical clinical features - uncomplicated:<ref name=pmid26244532>{{Cite journal | last1 = Ashwal | first1 = E. | last2 = Hiersch | first2 = L. | last3 = Krissi | first3 = H. | last4 = Eitan | first4 = R. | last5 = Less | first5 = S. | last6 = Wiznitzer | first6 = A. | last7 = Peled | first7 = Y. | title = Characteristics and Management of Ovarian Torsion in Premenarchal Compared With Postmenarchal Patients. | journal = Obstet Gynecol | volume = 126 | issue = 3 | pages = 514-20 | month = Sep | year = 2015 | doi = 10.1097/AOG.0000000000000995 | PMID = 26244532 }}</ref> | Typical clinical features - uncomplicated:<ref name=pmid26244532>{{Cite journal | last1 = Ashwal | first1 = E. | last2 = Hiersch | first2 = L. | last3 = Krissi | first3 = H. | last4 = Eitan | first4 = R. | last5 = Less | first5 = S. | last6 = Wiznitzer | first6 = A. | last7 = Peled | first7 = Y. | title = Characteristics and Management of Ovarian Torsion in Premenarchal Compared With Postmenarchal Patients. | journal = Obstet Gynecol | volume = 126 | issue = 3 | pages = 514-20 | month = Sep | year = 2015 | doi = 10.1097/AOG.0000000000000995 | PMID = 26244532 }}</ref> | ||
* | *Acute abdominal pain. | ||
*+/-Fever. | *+/-Fever. | ||
Treatment: | |||
*Excision ''or'' may be left in situ.<ref name=pmid24074673>{{Cite journal | last1 = Geimanaite | first1 = L. | last2 = Trainavicius | first2 = K. | title = Ovarian torsion in children: management and outcomes. | journal = J Pediatr Surg | volume = 48 | issue = 9 | pages = 1946-53 | month = Sep | year = 2013 | doi = 10.1016/j.jpedsurg.2013.04.026 | PMID = 24074673 }}</ref> | |||
==Gross== | ==Gross== | ||
| Line 24: | Line 35: | ||
==See also== | ==See also== | ||
*[[Ovarian infarct]]. | *[[Ovarian infarct]]. | ||
*[[Testicular torsion]]. | |||
==References== | ==References== | ||
Latest revision as of 16:12, 9 September 2015
Ovarian torsion is a clinical diagnosis and gynecologic emergency.[1]
General
- May be presentation of an ovarian tumour.[2]
Risk factors:[3]
- Pregnancy (odds ratio 18:1).
- Ovarian cysts.
Typical clinical features - uncomplicated:[4]
- Acute abdominal pain.
- +/-Fever.
Treatment:
- Excision or may be left in situ.[5]
Gross
- Black/blue ovary.[4]
Microscopic
Features:
- Necrosis of ovarian parenchyma.
- Lack of significant nuclear atypia.
Note:
- Microscopy is nonspecific.
DDx:
- Ovarian tumour - as underlying cause for torsion.
- Vasculitis.
- Thromboembolism.
See also
References
- ↑ Spinelli, C.; Piscioneri, J.; Strambi, S. (Oct 2015). "Adnexal torsion in adolescents: update and review of the literature.". Curr Opin Obstet Gynecol 27 (5): 320-5. doi:10.1097/GCO.0000000000000197. PMID 26204167.
- ↑ Ates, S.; Sevket, O.; Sudolmus, S.; Sonmez, FC.; Dansuk, R. (2015). "Granulosa cell tumor presenting with ovarian torsion and de novo borderline mucinous ovarian tumor in the contralateral ovary.". Eur J Gynaecol Oncol 36 (3): 354-5. PMID 26189271.
- ↑ Asfour, V.; Varma, R.; Menon, P. (Aug 2015). "Clinical risk factors for ovarian torsion.". J Obstet Gynaecol: 1-5. doi:10.3109/01443615.2015.1004524. PMID 26212687.
- ↑ 4.0 4.1 Ashwal, E.; Hiersch, L.; Krissi, H.; Eitan, R.; Less, S.; Wiznitzer, A.; Peled, Y. (Sep 2015). "Characteristics and Management of Ovarian Torsion in Premenarchal Compared With Postmenarchal Patients.". Obstet Gynecol 126 (3): 514-20. doi:10.1097/AOG.0000000000000995. PMID 26244532.
- ↑ Geimanaite, L.; Trainavicius, K. (Sep 2013). "Ovarian torsion in children: management and outcomes.". J Pediatr Surg 48 (9): 1946-53. doi:10.1016/j.jpedsurg.2013.04.026. PMID 24074673.