Ovarian Torsion

Question 1

true/False
Ovarian Torsion is a SURGICAL EMERGENCY

Answer 1

TRUE

Question 2

Adnexal torsion is an ischemic condition almost always associated with what?

Answer 2

ovarian enlargement, generally due to ovarian cysts or masses.

Question 3

Nearly 70% of Ovarian torsions occur on what side?
Due to what?

Answer 3

the right side
Due to the increased length of the utero-ovarian ligament on the right.

Question 4

S/S of what issue?
(1) Classic
–(a) Sudden onset severe unilateral lower abdominal pain
–(b) May develop after episodes of exertion or athletics
(2) Atypical
–(a) Half of patients
–(b) Gradual onset of intermittent pain
–(c) Nausea and vomiting – 70% of cases
3) Physical pain
–(a) Unilateral lower abdominal tenderness with guarding
–(b) Unilateral adnexal tenderness on bimanual exam
—–1) About 30% of patients are bilaterally tender
–(c) Possible palpable adnexal mass

Answer 4

Ovarian Torsion

Question 5

Treatment for Ovarian Torsion?

Answer 5

-When ovarian torsion is suspected prompt gynecological surgical
procedure is indicated.
1) Ovarian conservation with cystectomy
—-(a) Removal of cyst/mass from ovary

Question 6

True/False
Most ovaries are viable even if they have some necrosis at time of surgery.

Answer 6

True

Question 7

____ would be an indication for oophorectomy

Answer 7

Gross necrosis

Question 8

Disposition for Ovarian torsion

Answer 8

MEDEVAC to gynecology for anyone suspected of having ovarian torsion