Ovarian torsion is difficult to diagnose accurately, and operation is often performed before certain diagnosis is made. More completely, it is defined as adnexal torsion when the twisting includes the fallopian tube. Diagnosis. As a result, … It can affect females of all ages. Chronic intermittent partial torsion of a benign ovarian fibroma. Ovarian torsion is an uncommon cause of acute abdominal pain in nonpregnant women but is more common during pregnancy. Ovarian torsion is defined as partial or complete rotation of the ovar-ian vascular pedicle and causes obstruction to venous outflow and arterial inflow. Ovarian torsion is a surgical emergency characterized by a partial or complete rotation of the ovarian vascular pedicle, causing obstruction to venous outflow followed by arterial inflow. Ovarian torsion after hysterectomy is a rare event. Ovarian torsion is benign in most cases and malignancy is rare. 2019;59(4):122-123. Ultrasonography (US) is the primary imaging modality for Gynecologic ultrasonography is the imaging modality of choice. Ovarian torsion refers to complete or partial rotation of the adnexal supporting organ with ischemia. Ovarian torsion is defined as a partial or complete twisting of the ovary around its vascular pedicle and ligamentous supports. Ovarian torsion is the total or partial … It is one of the most common gynecologic surgical emergencies and may affect females of all ages [ 1 ]. 9 This may be in part due to the dual blood supply to the ovary, or cases in which torsion was intermittent or partial. Regarding Doppler flow, one study found that 61% of ovarian torsion on the right had normal doppler flow while 27% on the left had normal flow. This case shows that, in cases of acute onset pelvic … The diagnosis of ovarian torsion is challenging because symptoms are nonspecific. When present, it is often associated with severe pain. The presence of Doppler flow in some patients with torsion may be due to intermittent torsion, partial torsion, or the presence of additional blood supply through uterine artery branches . Although very rare, ovarian torsion can occur in postmenopausal women, and it should be taken into consideration that the possibility of malignancy is low in postmenopausal women with normal CA-125 levels. A 70-year-old woman presented to the emergency department with right lower quadrant (RLQ) abdominal pain, nausea, and vomiting. Consultant. Use of doppler ultrasound in … We present a case of ovarian torsion 2 years after laparoscopic hysterectomy (LH). Etiology and pathophysiology. Ovarian torsion occurs … Ovarian torsion is usually associated with a cyst or tumor, which is typically benign; the most common is mature cystic teratoma. Clinically, ovarian torsion frequently mimics other causes of acute pelvic pain such as appendicitis, diverticulitis, renal colic etc. Furthermore, we performed a literature review about ovarian torsion after hysterectomy. Ovarian edema may occur due to partial ovarian torsion, which blocks the blood flow and prevents lymph fluid from draining. Ovarian torsion refers to the complete or partial rotation of the ovary on its ligamentous supports, often resulting in impedance of its blood supply. A study at an obstetrics and gynaecology department found that preoperative diagnosis of ovarian torsion was confirmed in only 46% of people.. Ultrasound.
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