Ovarian torsion: Difference between revisions
(→DDx) |
(intermittent pain in ovarian torsion) |
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*Nausea/vomiting ~ 70% | *Nausea/vomiting ~ 70% | ||
*Sudden and sharp pain in the lower abdomen ~ 59% | *Sudden and sharp pain in the lower abdomen ~ 59% | ||
** can be intermittent | |||
*Fever ~ <2% | *Fever ~ <2% | ||
Revision as of 04:33, 13 September 2013
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%
- can be intermittent
- Fever ~ <2%
DDx
- Ectopic Pregnancy
- Ruptured or hemorrhagic cyst
- Appendicitis
- PID
- Fibroid (degenerating)
- Endometriosis
Diagnosis
- Ultrasound
- Diminished or absent blood flow in the ovarian vessels
- Ovarian mass
Treatment
- Emergent OB/GYN consult in ED
Source
- UpToDate