Ovarian torsion: Difference between revisions
(intermittent pain in ovarian torsion) |
(worry for torsion in ovarian cysts > 5mm) |
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==Background== | ==Background== | ||
*Occurs in females of all ages (most common in reproductive age women) | *Occurs in females of all ages (most common in reproductive age women) | ||
*Ovarian cysts and neoplasms account for 94% of cases in adults | *Ovarian cysts (usually > 5 mm) and neoplasms account for 94% of cases in adults | ||
**Account for only 50% in children (much more likely to torse normal ovaries) | **Account for only 50% in children (much more likely to torse normal ovaries) | ||
Revision as of 04:33, 13 September 2013
Background
- Occurs in females of all ages (most common in reproductive age women)
- Ovarian cysts (usually > 5 mm) 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