How do you manage ovarian torsion?
How do you manage ovarian torsion?
Once ovarian torsion is suspected, surgery is the mainstay of diagnosis and treatment. Ovarian cystectomy, oophorectomy, or conservative treatment with detorsion can be the treatment of choice.
How can you reduce the risk of ovarian torsion?
Can Ovarian Torsion be Prevented? There is no medically certain method for preventing ovarian torsion. However, using hormonal birth control may reduce the likelihood of its development, by limiting the physical impact of ovarian cysts on the reproductive system.
How do you evaluate ovarian torsion?
Physical exam should include an abdominal exam and a pelvic exam, including a bimanual exam, to assess for adnexal tenderness and fullness that may be present. It will also evaluate for the presence of concurrent infection. The best initial imaging for ovarian torsion is a transvaginal ultrasound with Doppler.
Why is ovarian torsion an emergency?
Ovarian torsion may lead to complications, especially the death of the ovarian tissue (ovarian necrosis). The twisting of the ovary cuts off the blood supply to it. In some cases, fallopian tubes may get affected and die due to the lack of blood flow.
What’s ovarian cyst torsion and its management?
Ovarian torsion (adnexal torsion) occurs when an ovary becomes twisted around the tissues that support it. Sometimes, the fallopian tube may also become twisted. This painful condition cuts off blood supply to these organs. Ovarian torsion is a medical emergency.
Whats ovarian cyst Tortion and its management?
Ovarian torsion is a condition that occurs when an ovary twists around the ligaments that hold it in place. This twisting can cut off blood flow to the ovary and fallopian tube. Ovarian torsion can cause severe pain and other symptoms because the ovary is not receiving enough blood.
What causes ovaries to twist?
An internal hemorrhage or hyperstimulation, for example, which is when your ovaries swell in response to hormonal treatment, can cause ovarian torsion. The internal causes can make you wait to get help, but you shouldn’t wait in cases of severe, sudden pain.
What are the risk factors for ovarian torsion?
The primary risk factor for ovarian torsion is an ovarian mass, especially when the ovary is larger than 5 cm in diameter. However, torsion may also occur without an underlying lesion, particularly in the pediatric population.
What are the symptoms of ovarian torsion?
Symptoms of Ovarian Torsion
- Pelvic pain.
- Crampy pain for a few days or weeks.
- Tender abdomen.
What happens if ovarian torsion is not treated?
Ovarian torsion is a gynecological emergency that occurs when there is twisting or torsion of the ovary around its ligamentous supports. If left untreated, it results in loss of blood supply to the ovary and the fallopian tube with resultant infarction and loss of function.
What do you understand by torsion?
Definition of torsion 1 : the twisting or wrenching of a body by the exertion of forces tending to turn one end or part about a longitudinal axis while the other is held fast or turned in the opposite direction also : the state of being twisted. 2 : the twisting of a bodily organ or part on its own axis.