Ovarian torsion: Difference between revisions
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*Sudden and sharp pain in the lower abdomen ~ 59% | *Sudden and sharp pain in the lower abdomen ~ 59% | ||
*Fever ~ <2% | *Fever ~ <2% | ||
==DDx== | |||
*Ectopic pregnancy | |||
*Ruptured or hemorrhagic cyst | |||
*Appendicitis | |||
*PID | |||
*Fibroid (degenerating) | |||
*Endometriosis | |||
==Diagnosis== | ==Diagnosis== | ||
*Ultrasound | *Ultrasound | ||
** | **Diminished or absent blood flow in the ovarian vessels | ||
**Ovarian mass | |||
** | |||
==Treatment== | ==Treatment== | ||
*Emergent OB/GYN consult in ED | |||
==Source== | ==Source== | ||
Revision as of 08:18, 24 April 2012
Background
- Occurs in females of all ages (most common in reproductive age women)
- Ovarian cysts and neoplasms account for 94% of cases in adults
- Account for only 50% in children (much more likely to torse normal ovaries)
Clinical Features
- Nausea/vomiting ~ 70%
- Sudden and sharp pain in the lower abdomen ~ 59%
- Fever ~ <2%
DDx
- Ectopic pregnancy
- Ruptured or hemorrhagic cyst
- Appendicitis
- PID
- Fibroid (degenerating)
- Endometriosis
Diagnosis
- Ultrasound
- Diminished or absent blood flow in the ovarian vessels
- Ovarian mass
Treatment
- Emergent OB/GYN consult in ED
Source
- UpToDate