Ovarian Torsion Questions & Answers

Updated: Jun 27, 2017
  • Author: Erik D Schraga, MD; Chief Editor: Eugene C Lin, MD  more...
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Questions & Answers

Overview

What is ovarian torsion?

How does ovarian torsion occur?

What are common causes of ovarian torsion?

What are the signs and symptoms of ovarian torsion?

What is the role of ultrasonography in the evaluation of ovarian torsion?

When is gynecologic consultation needed for ovarian torsion?

What is the pathophysiology of ovarian torsion?

Where does ovarian torsion most often occur?

What is the role of anatomic abnormalities in the pathogenesis of ovarian torsion?

During pregnancy, what can predispose the ovary to torsion?

What is the role of pregnancy in the pathogenesis of ovarian torsion?

What factors increases the risk of ovarian torsion?

Why is ovarian torsion more prevalent in developed countries?

How does the prevalence of ovarian torsion vary by age?

What is the prognosis of ovarian torsion?

Presentation

What are the symptoms of ovarian torsion?

What is the presentation of ovarian torsion in premenarchal girls?

What are the symptoms of ovarian torsion in the third trimester of pregnancy?

Which physical findings suggest ovarian torsion?

What are some complications of ovarian torsion?

DDX

What is the role of ultrasonography in early diagnosis of ovarian torsion?

What causes ovarian torsion in postmenopausal women?

What conditions should be included in the differential diagnoses of ovarian torsion?

What are the differential diagnoses for Ovarian Torsion?

Workup

What is the role of imaging studies in the evaluation of ovarian torsion?

What is the most common sonographic finding in ovarian torsion?

Which study is used to predict viability of adnexal structures in ovarian torsion?

What fluid may surround an ovarian torsion?

What ultrasonography finding can be misleading when testing for an ovarian torsion?

What is the role of Doppler flow studies in the evaluation of ovarian torsion?

How does combining Doppler flow imaging with morphologic assessment improve diagnostic accuracy of ovarian torsion?

Which sonar finding is highly indicative of ovarian torsion?

How can a Doppler flow study be used to diagnose ovarian torsion?

Which findings on CT scan suggest ovarian torsion?

How accurate is CT scanning for diagnosing ovarian torsion?

What is the role of MRI in the diagnosis of ovarian torsion?

Treatment

When is laparoscopy indicated in the evaluation of ovarian torsion?

What causes the increased frequency of ovarian torsion during pregnancy?

Is the role of laparoscopy in the management of ovarian torsion?

Medications

Which medications are used in the treatment of ovarian torsion?

Which medications in the drug class Antiemetics/Sedatives are used in the treatment of Ovarian Torsion?

Which medications in the drug class Analgesics are used in the treatment of Ovarian Torsion?