Ovarian torsion

Ovarian torsion is a clinical diagnosis and gynecologic emergency.

General

Typical clinical features - uncomplicated:

• Abdominal pain.
• +/-Fever.

Gross

• Black/blue ovary.

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

• Ovarian infarct.