Ovarian torsion

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%

Diagnosis

• Ultrasound
  • Can show adnexal mass, cul-de-sac free fluid, dimished/absent doppler flow
• CT
  • Can show enlarged adnexa,

Source

• UpToDate