Hostname: page-component-848d4c4894-75dct Total loading time: 0 Render date: 2024-05-31T22:29:24.553Z Has data issue: false hasContentIssue false
  • English
  • Français

Ovarian torsion in a 20-year-old patient

Published online by Cambridge University Press:  21 May 2015

Chris Martin  and
Kirk Magee
Chris Martin
Affiliation:
Faculty of Medicine, University of Western Ontario, London, Ont.
Kirk Magee*
Affiliation:
Department of Emergency Medicine, Dalhousie University, Halifax, NS
*
Department of Emergency Medicine, 3021 Halifax Infirmary, QE II Health Sciences Centre, 1796 Summer St., Halifax NS B3H 3A7

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Ovarian torsion is an uncommon gynecological emergency that requires prompt recognition and treatment. It may present with nonspecific signs and symptoms, and should be considered in any female with acute abdominal pain. The diagnosis is based on an awareness of the relevant risk factors, the clinical presentation, and a high index of suspicion. Timely investigation and management can make the difference between ovarian loss and salvage — an outcome of great importance in the population of reproductive age females.

Keywords

ovarian torsionadnexal torsiongynecologic emergency
Type
Case Report • Observations de cas
Information
Canadian Journal of Emergency Medicine , Volume 8 , Issue 2 , March 2006 , pp. 126 - 129
Copyright
Copyright © Canadian Association of Emergency Physicians 2006

References

1.Haskins, T, Shull, B. Adnexal torsion: a mind-twisting diagnosis. South Med J 1986;79:576–7.CrossRefGoogle ScholarPubMed
2.Holschneider, CH. Surgical diseases and disorders in pregnancy. In: DeCerney, A, Nathan, L, editors. Current obstetrics and gynecology diagnosis and treatment. New York: McGraw-Hill; 2003. p. 459–60.Google Scholar
3.Hibbard, LT. Adnexal torsion. Am J Obstet Gynecol 1985;152:456–61.CrossRefGoogle ScholarPubMed
4.Coleman, B. Transvaginal sonography of adnexal mass. Radiol Clin North Am 1992;30:677–91.Google Scholar
5.Warner, MA, Fleisher, AC, Edell, SL, et al. Uterine adnexal torsion: sonographic findings. Radiology 1985;154:773–5.Google Scholar
6.Albayram, F, Hamper, UM. Ovarian and adnexal torsion: spectrum of sonographic findings with pathology correlation. J Ultrasound Med 2001;20:1083–9.Google Scholar
7.Nichols, DH, Julian, DJ. Torsion of the adnexa. Clin Obstet Gynecol 1985;28:375–80.Google Scholar
8.Houry, D, Abbot, JT. Ovarian torsion: a fifteen year review. Ann Emerg Med 2001;38:156–9.Google Scholar
9.Morrison, L, Spence, J. Vaginal bleeding and pelvic pain in the non-pregnant patient. In: Tintinalli, J, Kelen, GD, Stapczynski, JS, editors. Emergency medicine: a comprehensive study guide. 5th ed. New York: McGraw-Hill; 2000. p. 669–80.Google Scholar
10.Webb, EM, Green, GE, Scoutt, LM. Adnexal mass with pelvic pain. Radiol Clin North Am 2004;42:329–48.CrossRefGoogle ScholarPubMed
11.Cappell, MS, Friedel, D. Abdominal pain during pregnancy. Gastroenterol Clin North Am 2003;32:1–58.Google Scholar
12.Gorkemli, H. Adnexal torsion after gonadotrophin ovulation induction for IVF or ICSI and its conservative treatment. Arch Gynecol Obstet 2002;267:4–6.Google Scholar
13.Burnett, LS. Gynecological causes of the acute abdomen. Surg Clin North Am 1988;68:385–98.Google Scholar
14.Morgan, A. Genitourinary emergencies: adnexal mass evaluation in the emergency department. Emerg Med Clin North Am 2001;19:799–816.Google Scholar
15.Pena, JE, Ulfberg, D, Cooney, N, et al. Usefulness of Doppler sopnography in the diagnosis of ovarian torsion. Fertil Steril 2000;73:1047–50.CrossRefGoogle ScholarPubMed
16.Cohen, SB. Laparoscopic detorsion allows sparing of the twisted ischemic adnexa. J Am Assoc Gynecol Laparosc 1999;6:139–43.CrossRefGoogle ScholarPubMed
17.Zweizig, S, Perron, J, Grubb, D, et al. Conservative management of adnexal torsion. Am J Obstet Gynecol 1993;168:1791–5.CrossRefGoogle ScholarPubMed