Difference between revisions of "Ovarian torsion"
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==General== | ==General== | ||
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> | |||
*[[Pregnancy]] (odds ratio 18:1). | |||
*Ovarian cysts. | |||
Typical clinical features - uncomplicated:<ref name=pmid26244532>{{Cite journal | last1 = Ashwal | first1 = E. | last2 = Hiersch | first2 = L. | last3 = Krissi | first3 = H. | last4 = Eitan | first4 = R. | last5 = Less | first5 = S. | last6 = Wiznitzer | first6 = A. | last7 = Peled | first7 = Y. | title = Characteristics and Management of Ovarian Torsion in Premenarchal Compared With Postmenarchal Patients. | journal = Obstet Gynecol | volume = 126 | issue = 3 | pages = 514-20 | month = Sep | year = 2015 | doi = 10.1097/AOG.0000000000000995 | PMID = 26244532 }}</ref> | Typical clinical features - uncomplicated:<ref name=pmid26244532>{{Cite journal | last1 = Ashwal | first1 = E. | last2 = Hiersch | first2 = L. | last3 = Krissi | first3 = H. | last4 = Eitan | first4 = R. | last5 = Less | first5 = S. | last6 = Wiznitzer | first6 = A. | last7 = Peled | first7 = Y. | title = Characteristics and Management of Ovarian Torsion in Premenarchal Compared With Postmenarchal Patients. | journal = Obstet Gynecol | volume = 126 | issue = 3 | pages = 514-20 | month = Sep | year = 2015 | doi = 10.1097/AOG.0000000000000995 | PMID = 26244532 }}</ref> | ||
* | *Acute abdominal pain. | ||
*+/-Fever. | *+/-Fever. | ||
Revision as of 15:29, 9 September 2015
Ovarian torsion is a clinical diagnosis and gynecologic emergency.
General
Risk factors:[1]
- Pregnancy (odds ratio 18:1).
- Ovarian cysts.
Typical clinical features - uncomplicated:[2]
- Acute abdominal pain.
- +/-Fever.
Gross
- Black/blue ovary.[2]
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
- ↑ 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.
- ↑ 2.0 2.1 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.