Pelvic Pathology Flashcards
What is ovarian torsion?
Partial or complete torsion of the ovary on its supporting ligaments, that may in turn compromise blood supply
Give risk factors for ovarian torsion
Ovarian mass
Pregnancy
Ovarian hyperstimulation syndrome
How does ovarian torsion present?
Sudden onset unilateral iliac fossa pain
- Can radiate to the loin, groin or back
- Onset may coincide with exercise
N&V
Adnexal mass
Low grade fever
What investigations are used in ovarian torsion?
US
- Whirlpool sign, as structure twists on itself
- Free fluid
Laparoscopy
Increased CRP
FBC
- Increased WCC
What US sign is seen in ovarian torsion?
Free pelvic fluid in a whrilpool sign (demonstrates twisting of ovarian pedicle)
How do ovarian cysts present?
Unilateral dull ache
- Intermittent or during intercourse
Severe abdominal pain
- Torsion or rupture
Abdominal swelling
- Large cyst
Pressure effects on bladder
- Large cyst
What are Bartholin’s glands?
Pair of glands located next to the entrance to the vagina
These are normally about the size of a pea, but can become infected and enlarge, forming a Bartholin’s abscess
How do Bartholins abscess present?
Severe, worsening perineal pain
Unilateral fluctuant mass
Erythematous skin
How are Bartholins abscess managed?
Antibiotics
- By insertion of a catheter or by marsupialization
What is the most common cyst in reproductive women?
Follicular cyst
What benign ovarian tumour occurs in Meigs syndrome?
Fibroma
What is the most common benign epithelial ovarian tumour?
Serous cystadenoma
What ovarian cyst may contain appendages, hair and teeth?
Dermoid cyst/teratoma
