Symptoms of Adnexal (Ovarian) Torsion скачать в хорошем качестве

Symptoms of Adnexal (Ovarian) Torsion

An adnexal torsion is commonly the result of an ovary, and occasionally a fallopian tube, twisting along its pedicle and interrupting its arterial supply, resulting in ischemia. Rapid identification and intervention are necessary to preserve ovarian function. It usually presents with sudden onset Abdominal pain, nausea, vomiting and diarrhea. On examination there may be Abdominal or pelvic tenderness, a Palpable adnexal mass or Signs of peritonism. Presentation may be completely Non-specific, therefore, a high clinical suspicion is necessary. Risk Factors include Enlarged ovary likely due to ovarian cyst, Para-ovarian cyst, Hydro salpinx or Previous history of torsion. Ultrasound may demonstrate Unilateral ovarian enlargement and ovarian tissue oedema, with less defined borders. Comparison with the contralateral ovary will show a distinct difference. The pedicle that is twisted may be seen as a ‘whirlpool’ that is visible both in greyscale and on color Doppler. Management is by laparoscopy and Detorsion. Ovarian cystectomy to be performed at the same time or at a later date once the ovary is reperfused and the degree of oedema has diminished to reduce the likelihood of an oophorectomy