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==
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*Acute abdominal pain.
*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==
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==See also==
==See also==
*[[Ovarian infarct]].
*[[Ovarian infarct]].
*[[Testicular 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

Risk factors:[3]

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:

See also

References

  1. 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.
  2. 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.
  3. 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. 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.
  5. 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.