Ovarian Torsion Flashcards
1
Q
What is the definition of ovarian torsion?
A
Twisting of the ovary and/or fallopian tube on its vascular and ligamentous supports, blocking adequate blood flow to the ovary.
2
Q
What causes ovarian torsion?
A
Hypermobility of ovary
Adnexal mass, most commonly dermoid cyst
3
Q
What are some clinical features of ovarian torsion?
A
Severe non-specific lower abdominal and pelvic pain (intermittent or sustained)
Nausea and vomiting
Adnexal tenderness
4
Q
What are some investigations for ovarian torsion?
A
Bloods (raised white cells)
Ultrasound (1st choice imaging)
CT (useful if USS normal)
5
Q
What is the management of ovarian torsion?
A
Urgent surgery:
- Salpingo-oophrectomy for unsalvageable ovaries (most common)
- Surgical untwisting for non-infarcted adnexa
