Difference between revisions of "Ovarian torsion"
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==General== | ==General== | ||
*May be presentation of an [[ovarian tumour]].<ref>{{Cite journal | last1 = Ates | first1 = S. | last2 = Sevket | first2 = O. | last3 = Sudolmus | first3 = S. | last4 = Sonmez | first4 = FC. | last5 = Dansuk | first5 = R. | title = Granulosa cell tumor presenting with ovarian torsion and de novo borderline mucinous ovarian tumor in the contralateral ovary. | journal = Eur J Gynaecol Oncol | volume = 36 | issue = 3 | pages = 354-5 | month = | year = 2015 | doi = | PMID = 26189271 }} | |||
</ref> | |||
Risk factors:<ref name=pmid26212687>{{Cite journal | last1 = Asfour | first1 = V. | last2 = Varma | first2 = R. | last3 = Menon | first3 = P. | title = Clinical risk factors for ovarian torsion. | journal = J Obstet Gynaecol | volume = | issue = | pages = 1-5 | month = Aug | year = 2015 | doi = 10.3109/01443615.2015.1004524 | PMID = 26212687 }} | Risk factors:<ref name=pmid26212687>{{Cite journal | last1 = Asfour | first1 = V. | last2 = Varma | first2 = R. | last3 = Menon | first3 = P. | title = Clinical risk factors for ovarian torsion. | journal = J Obstet Gynaecol | volume = | issue = | pages = 1-5 | month = Aug | year = 2015 | doi = 10.3109/01443615.2015.1004524 | PMID = 26212687 }} | ||
</ref> | </ref> | ||
Revision as of 15:30, 9 September 2015
Ovarian torsion is a clinical diagnosis and gynecologic emergency.
General
- May be presentation of an ovarian tumour.[1]
Risk factors:[2]
- Pregnancy (odds ratio 18:1).
- Ovarian cysts.
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:
- Ovarian tumour - as underlying cause for torsion.
- Vasculitis.
- Thromboembolism.
See also
References
- ↑ 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.
- ↑ 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.
- ↑ 3.0 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.