Ovarian torsion

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Ovarian torsion is a clinical diagnosis and gynecologic emergency.

General

Risk factors:[2]

Typical clinical features - uncomplicated:[3]

  • Acute abdominal pain.
  • +/-Fever.

Gross

  • Black/blue ovary.[3]

Microscopic

Features:

  • Necrosis of ovarian parenchyma.
  • Lack of significant nuclear atypia.

Note:

  • Microscopy is nonspecific.

DDx:

See also

References

  1. 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.
  2. 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.
  3. 3.0 3.1 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.