ovarian torsion differential diagnosis

To fix or not to fix: When should laparoscopic oophoropexy be undertaken in women with recurrent ovarian torsion 22. Am J Emerg Med. Image courtesy of C. William Helm, MBBChir. 2009 Aug. 34(2):208-11. Ovarian torsion diagnosed by MRI. 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 UltrasoundDisclosure: Nothing to disclose. 26(4):520.e1-3. Chang HC, Bhatt S, Dogra VS. Pearls and pitfalls in diagnosis of ovarian torsion. Differential Diagnosis The differential diagnosis of pelvic pain is most logically divided by the age and pregnancy status of the patient (Table 1). [Medline]. Diagnosis can be difficult and is mainly based on clinical symptoms and imaging techniques such as ultrasound and MRI. [Medline]. 2009 Jun. 1995 Jul. Arch Pediatr Adolesc Med. Gittleman AM, Price AP, Goffner L, Katz DS. J Ultrasound Med. When to suspect ovarian cancer; Differential diagnosis; Management; Supporting evidence; How this topic was developed; References; What else might it be? All patients with pelvic pain wher… The twisting, or torsion, of the ovary around its ligamentous supports. Clinical characteristics of adnexal torsion in premenarchal patients. 2005 Jun. Asfour V, Varma R, Menon P. Clinical risk factors for ovarian torsion. [Medline]. [Medline]. Anatomy, 2010 52 (5):749-752. Ovarian Torsion in the Third Trimester of Pregnancy Leading to Iatrogenic Preterm Delivery. 2007 Oct. 27(7):743-4. Ovarian torsion (adnexal torsion) is an infrequent but significant cause of acute lower abdominal pain in women. Shadinger LL, Andreotti RF, Kurian RL. 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. [Medline] . [Medline]. Obstet Gynecol. In those with indicative histories and absence of alternative diagnoses, further investigation must be sought. J Ultrasound Med. Sudden onset of unilateral and severe lower abdominal or pelvic pain, associated with nausea or vomiting. [Medline]. 2026938-overview [Medline]. A twisting of the ovary and/or fallopian tube on its vascular and ligamentous supports, blocking adequate blood flow to the ovary. 19. Arch Gynecol Obstet. 159(6):532-5. 32(3):424-7. Also, the cyst, which was previously located medially, has moved to the lateral of the ovary. Faced with abdominal pain of uncertain etiology in a female child, emergency physicians should include ovarian torsion secondary to an ovarian mass in the differential diagnosis. Sonographic diagnosis was ovarian torsion; however, the patient was managed conservatively. Torsion occurs most frequently in women of reproductive age. Ovarian torsion: CT and MR imaging appearances. 2017 May 16. MacDuff R, Anthony GS, MacLennan AC. Torsions more commonly involve both the ovary and fallopian tube, and there are fewer cases of isolated torsions involving just the ovary or … Goals and outcome measures; Background information; Diagnosis . Griffin D, Shiver SA. The astute physician will recall that the differential diagnosis includes ovarian torsion and will then clinch the diagnosis with the assistance of an abdominal or vaginal ultrasound evaluation of the pelvis. [Medline]. Sonographic depiction of ovarian vascularity and flow: current improvements and future applications. [20] Ovarian tumors, both benign and malignant, are common in postmenopausal women and may result in torsion. Surgery during advanced pregnancy has increased risks because the patient is in a hypercoagulable state. CME Programs. 2008 Sep-Oct. 28(5):1355-68. [Medline]. 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