Ovarian torsion: Difference between revisions
Ostermayer (talk | contribs) No edit summary |
Ostermayer (talk | contribs) No edit summary |
||
| Line 30: | Line 30: | ||
==Source== | ==Source== | ||
*UpToDate | *UpToDate | ||
*Tintinalli | |||
[[Category:OB/GYN]] | [[Category:OB/GYN]] | ||
Revision as of 15:54, 24 October 2013
Background
- Occurs in females of all ages (most common in reproductive age women)
- Ovarian cysts (usually > 5 mm) 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%
- can be intermittent
- Fever ~ <2%
DDx
- Ectopic Pregnancy
- Ruptured or hemorrhagic cyst
- Appendicitis
- PID
- Fibroid (degenerating)
- Endometriosis
- In Vitro fertilization
Diagnosis
- Ultrasound (sensitivty 46-70%)
- Diminished or absent blood flow in the ovarian vessels
- Ovarian mass
- Gold standard: direct visualization!
Treatment
- Emergent OB/GYN consult in ED
Source
- UpToDate
- Tintinalli