Ovarian Torsion Signs, Symptoms, Causes, Treatment скачать в хорошем качестве

Ovarian Torsion Signs, Symptoms, Causes, Treatment

Ovarian torsion is a medical condition that occurs when an ovary twists around the ligaments that support it, cutting off its blood supply. This can lead to severe pain and other symptoms, and if not treated promptly, it can cause the ovary to become necrotic (die due to lack of blood flow). Here is an overview of the condition: Symptoms Severe abdominal or pelvic pain: Often sudden in onset and typically on one side. Nausea and vomiting Fever: In some cases, if the torsion has led to an infection or necrosis. Adnexal mass: A mass may be palpable on physical examination. Abnormal vaginal bleeding: Less common but possible. Causes and Risk Factors Ovarian cysts or masses: Large cysts or masses can cause the ovary to become unbalanced and more likely to twist. Pregnancy: The hormonal changes and enlargement of the ovaries during pregnancy can increase the risk. Hormonal treatments: For example, fertility treatments that stimulate the ovaries can increase the risk of torsion. Previous pelvic surgery: Scar tissue or adhesions can increase the risk. Diagnosis Ultrasound: The primary imaging modality used to diagnose ovarian torsion. Doppler ultrasound can assess blood flow to the ovary. CT scan or MRI: Sometimes used if the diagnosis is unclear. Clinical evaluation: Based on symptoms and physical examination. Treatment Surgery: The primary treatment is surgical intervention to untwist the ovary. This is typically done laparoscopically (minimally invasive surgery). Ovarian detorsion: Untwisting the ovary to restore blood flow. Oophorectomy: In severe cases where the ovary is not viable, it may need to be removed. Pain management and supportive care: To manage symptoms before and after surgery. Prognosis Timely treatment: If treated promptly, many patients recover well and the ovary can often be saved. Delayed treatment: Can result in loss of the ovary and potential complications such as infection or sepsis. Prevention Monitoring ovarian cysts: Regular monitoring of ovarian cysts, especially in patients with a history of torsion or large cysts. Cautious use of fertility treatments: Careful monitoring during fertility treatments that stimulate the ovaries. When to Seek Medical Attention Severe, sudden abdominal or pelvic pain Nausea and vomiting associated with pain Any signs of infection or severe illness Ovarian torsion is a medical emergency, and prompt diagnosis and treatment are crucial to preserve ovarian function and prevent complications.