Ovarian Torsion Treatment & Management

1. Ashwal E, Hiersch L, Krissi H, Eitan R, Less S, Wiznitzer A, et al. Characteristics and Management of Ovarian Torsion in Premenarchal Compared With Postmenarchal Patients. Obstet Gynecol. 2015 Sep. 126 (3):514-20. [Medline].

2. Ashwal E, Krissi H, Hiersch L, Less S, Eitan R, Peled Y. Presentation, Diagnosis, and Treatment of Ovarian Torsion in Premenarchal Girls. J Pediatr Adolesc Gynecol. 2015 Mar 28. [Medline].

3. Ganer Herman H, Shalev A, Ginat S, Kerner R, Keidar R, Bar J, et al. Clinical characteristics of adnexal torsion in premenarchal patients. Arch Gynecol Obstet. 2016 Mar. 293 (3):603-8. [Medline].

4. Koumoutsea EV, Gupta M, Hollingworth A, Gorry A. Ovarian Torsion in the Third Trimester of Pregnancy Leading to Iatrogenic Preterm Delivery. Case Rep Obstet Gynecol. 2016. 2016:8426270. [Medline].

5. Karaman E, Beger B, Çetin O, Melek M, Karaman Y. Ovarian Torsion in the Normal Ovary: A Diagnostic Challenge in Postmenarchal Adolescent Girls in the Emergency Department. Med Sci Monit. 2017 Mar 15. 23:1312-1316. [Medline].

6. Naffaa L, Deshmukh T, Tumu S, Johnson C, Boyd KP, Meyers AB. Imaging of Acute Pelvic Pain in Girls: Ovarian Torsion and Beyond^☆. Curr Probl Diagn Radiol. 2017 Jul - Aug. 46 (4):317-329. [Medline].

7. Asfour V, Varma R, Menon P. Clinical risk factors for ovarian torsion. J Obstet Gynaecol. 2015. 35 (7):721-5. [Medline].

8. Rotoli JM. Abdominal Pain in the Post-menopausal Female: Is Ovarian Torsion in the Differential?. J Emerg Med. 2017 May. 52 (5):749-752. [Medline].

9. Fleischer AC, Stein SM, Cullinan JA, Warner MA. Color Doppler sonography of adnexal torsion. J Ultrasound Med. 1995 Jul. 14(7):523-8. [Medline].

10. Zanforlin Filho SM, Araujo Júnior E, Serafini P, Guimarães Filho HA, Pires CR, Nardozza LM, et al. Diagnosis of ovarian torsion by three-dimensional power Doppler in first trimester of pregnancy. J Obstet Gynaecol Res. 2008 Apr. 34(2):266-70. [Medline].

11. Dhanda S, Quek ST, Mok YT, Rong CYH, Ting YSE, Jagmohan P, et al. CT features in surgically proven cases of ovarian torsion- a pictorial review. Br J Radiol. 2017 May 16. 20170052. [Medline].

12. Anders JF, Powell EC. Urgency of evaluation and outcome of acute ovarian torsion in pediatric patients. Arch Pediatr Adolesc Med. 2005 Jun. 159(6):532-5. [Medline].

13. Hasson J, Tsafrir Z, Azem F, Bar-On S, Almog B, Mashiach R, et al. Comparison of adnexal torsion between pregnant and nonpregnant women. Am J Obstet Gynecol. 2010 Jun. 202(6):536.e1-6. [Medline].

14. Chang HC, Bhatt S, Dogra VS. Pearls and pitfalls in diagnosis of ovarian torsion. Radiographics. 2008 Sep-Oct. 28(5):1355-68. [Medline].

15. Bider D, Mashiach S, Dulitzky M, Kokia E, Lipitz S, Ben-Rafael Z. Clinical, surgical and pathologic findings of adnexal torsion in pregnant and nonpregnant women. Surg Gynecol Obstet. 1991 Nov. 173(5):363-6. [Medline].

16. Griffin D, Shiver SA. Unusual presentation of acute ovarian torsion in an adolescent. Am J Emerg Med. 2008 May. 26(4):520.e1-3. [Medline].

17. Huang TY, Lau BH, Lin LW, Wang TL, Chong CF, Chen CC. Ovarian cyst torsion in a toddler. Am J Emerg Med. 2009 Jun. 27(5):632.e1-3. [Medline].

18. Fleischer AC, Brader KR. Sonographic depiction of ovarian vascularity and flow: current improvements and future applications. J Ultrasound Med. 2001 Mar. 20(3):241-50. [Medline].

19. Lee EJ, Kwon HC, Joo HJ, Suh JH, Fleischer AC. Diagnosis of ovarian torsion with color Doppler sonography: depiction of twisted vascular pedicle. J Ultrasound Med. 1998 Feb. 17(2):83-9. [Medline].

20. Koonings PP, Grimes DA. Adnexal torsion in postmenopausal women. Obstet Gynecol. 1989 Jan. 73(1):11-2. [Medline].

21. Peña JE, Ufberg D, Cooney N, Denis AL. Usefulness of Doppler sonography in the diagnosis of ovarian torsion. Fertil Steril. 2000 May. 73(5):1047-50. [Medline].

22. Smorgick N, Pansky M, Feingold M, Herman A, Halperin R, Maymon R. The clinical characteristics and sonographic findings of maternal ovarian torsion in pregnancy. Fertil Steril. 2009 Dec. 92(6):1983-7. [Medline].

23. Auslender R, Shen O, Kaufman Y, Goldberg Y, Bardicef M, Lissak A, et al. Doppler and gray-scale sonographic classification of adnexal torsion. Ultrasound Obstet Gynecol. 2009 Aug. 34(2):208-11. [Medline].

24. Mashiach R, Melamed N, Gilad N, Ben-Shitrit G, Meizner I. Sonographic diagnosis of ovarian torsion: accuracy and predictive factors. J Ultrasound Med. 2011 Sep. 30(9):1205-10. [Medline].

25. Kimura I, Togashi K, Kawakami S, Takakura K, Mori T, Konishi J. Ovarian torsion: CT and MR imaging appearances. Radiology. 1994 Feb. 190(2):337-41. [Medline].

26. Siegelman ES, Outwater EK. Tissue characterization in the female pelvis by means of MR imaging. Radiology. 1999 Jul. 212(1):5-18. [Medline].

27. Van Kerkhove F, Cannie M, Op de Beeck K, Timmerman D, Pienaar A, Smet MH, et al. Ovarian torsion in a premenarcheal girl: MRI findings. Abdom Imaging. 2007 May-Jun. 32(3):424-7. [Medline].

28. Shadinger LL, Andreotti RF, Kurian RL. Preoperative sonographic and clinical characteristics as predictors of ovarian torsion. J Ultrasound Med. 2008 Jan. 27(1):7-13. [Medline].

29. Gittleman AM, Price AP, Goffner L, Katz DS. Ovarian torsion: CT findings in a child. J Pediatr Surg. 2004 Aug. 39(8):1270-2. [Medline].

30. Duigenan S, Oliva E, Lee SI. Ovarian torsion: diagnostic features on CT and MRI with pathologic correlation. AJR Am J Roentgenol. 2012 Feb. 198(2):W122-31. [Medline].

31. Moore C, Meyers AB, Capotasto J, Bokhari J. Prevalence of abnormal CT findings in patients with proven ovarian torsion and a proposed triage schema. Emerg Radiol. 2009 Mar. 16(2):115-20. [Medline].

32. Cano Alonso R, Borruel Nacenta S, Díez Martínez P, María NI, Ibáñez Sanz L, Zabía Galíndez E. Role of multidetector CT in the management of acute female pelvic disease. Emerg Radiol. 2009 Nov. 16(6):453-72. [Medline].

33. Lam A, Nayyar M, Helmy M, Houshyar R, Marfori W, Lall C. Assessing the clinical utility of color Doppler ultrasound for ovarian torsion in the setting of a negative contrast-enhanced CT scan of the abdomen and pelvis. Abdom Imaging. 2015 Oct. 40 (8):3206-13. [Medline].

34. Kawakami K, Murata K, Kawaguchi N, Furukawa A, Morita R, Tenzaki T, et al. Hemorrhagic infarction of the diseased ovary: a common MR finding in two cases. Magn Reson Imaging. 1993. 11(4):595-7. [Medline].

35. MacDuff R, Anthony GS, MacLennan AC. Ovarian torsion diagnosed by MRI. J Obstet Gynaecol. 2007 Oct. 27(7):743-4. [Medline].

36. Asfour V, Varma R, Menon P. Clinical risk factors for ovarian torsion. J Obstet Gynaecol. 2015 Aug 19. 1-5. [Medline].

Erik D Schraga, MD Staff Physician, Department of Emergency Medicine, Mills-Peninsula Emergency Medical Associates

Disclosure: Nothing to disclose.

Arthur C Fleischer, MD Professor, Chief of Ultrasound Imaging, Departments of Radiology and Obstetrics and Gynecology, Vanderbilt University Medical Center

Arthur C Fleischer, MD is a member of the following medical societies: American College of Radiology, American Institute of Ultrasound in Medicine, Society of Radiologists in Ultrasound

Disclosure: Nothing to disclose.

Eugene C Lin, MD Attending Radiologist, Teaching Coordinator for Cardiac Imaging, Radiology Residency Program, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine

Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, Society of Nuclear Medicine and Molecular Imaging

Disclosure: Nothing to disclose.

Michelle Blanda, MD Chair, Department of Emergency Medicine, Summa Health System Akron City/St Thomas Hospital; Professor of Emergency Medicine, Northeastern Ohio Universities College of Medicine

Michelle Blanda, MD is a member of the following medical societies: American College of Emergency Physicians and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Harris L Cohen, MD, FACR Chairman, Department of Radiology, Professor of Radiology, Pediatrics, and Obstetrics and Gynecology, University of Tennessee Health Science Center College of Medicine; Medical Director, Department of Radiology, LeBonheur Children's Hospital; Emeritus Professor of Radiology, The School of Medicine at Stony Brook University

Harris L Cohen, MD, FACR is a member of the following medical societies: American College of Radiology, American Institute of Ultrasound in Medicine, Association of Program Directors in Radiology, Radiological Society of North America, Society for Pediatric Radiology, and Society of Radiologists in Ultrasound

Disclosure: Nothing to disclose.

Pamela L Dyne, MD Professor of Clinical Medicine/Emergency Medicine, University of California, Los Angeles, David Geffen School of Medicine; Attending Physician, Department of Emergency Medicine, Olive View-UCLA Medical Center

Pamela L Dyne, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Karen L Reuter, MD, FACR Professor, Department of Radiology, Lahey Clinic Medical Center

Karen L Reuter, MD, FACR is a member of the following medical societies: American Association for Women Radiologists, American College of Radiology, American Institute of Ultrasound in Medicine, American Roentgen Ray Society, and Radiological Society of North America

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Mark Zwanger, MD, MBA Assistant Professor, Department of Emergency Medicine, Jefferson Medical College of Thomas Jefferson University

Mark Zwanger, MD, MBA is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, and American Medical Association

Disclosure: Nothing to disclose.

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