27 Jun 2017 In another study, of 32 premenarchal patients with ovarian torsion, the main presenting symptoms were abdominal pain (92.3%) and nausea and vomiting ( 84.6%). Abdominal tenderness was present in 64.1%.On abdominal
Ipsilateral recurrent ovarian torsion is even more rare. This article presents a case of a recurren The ab- sence of typical sonographic signs does not rule out ovarian torsion, especially when the clinical presentation is suggestive. Basing assessments on multiple sonographic signs, including Doppler evaluation, increases the diagnost The typical clinical history in ovarian torsion is of the sudden onset of severe, unilateral, lower abdominal pain that worsens intermittently. About a quarter of patients report bilateral lower quadrant pain. Nausea and vomiting are seen This can result in difficulty distinguishing between ovarian torsion and ruptured ovarian cyst on history and physical exam. This study will evaluate similarities and differences in clinical presentation or outcomes of patients presenting 27 Jun 2017 In another study, of 32 premenarchal patients with ovarian torsion, the main presenting symptoms were abdominal pain (92.3%) and nausea and vomiting ( 84.6%). Abdominal tenderness was present in 64.1%.On abdominal Bowel Herniation Through Broad Ligament Mimicking Ovarian Torsion: A Novel Presentation.
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Differentiated therapy in pre- and postmenopausal adnexal torsion based on malignancy rates: A retrospective multicentre study over five years. Torsion can represent a rare but well-recognized presentation of ovarian malignancy, including carcinoma, germ cell tumors (Figs. 6A, 6B, 6C, 6D, and 6E), Sertoli Leydig cell tumors, and metastases [7, 13]. Ovarian torsion is primarily a clinical diagnosis. The classical presentation is with acute pelvic pain associated with an adnexal mass.
aDepartment of Obstetrics and Gynecology, Mount Sinai Hospital, 1500 S California Ave, Case 84. 1. Ovarian cyst, 5.
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People should seek urgent medical care for ovarian torsion, as the ovary tissue may die .. 22 Jan 2020 Ovarian torsion is a common concern in girls presenting to emergency care with pelvic or abdominal pain. There were considerable differences in the clinical presentation of ovarian torsion in girls younger than 1 year, Patients with a clinical suspicion for adnexal torsion should undergo emergent diagnostic laparoscopy 13 Figure 1. The differential diagnosis of an adolescent presenting with abdominal pain is broad 11 and the presentation of adnexal tor The diagnosis of ovarian torsion in this patient was not made until 2 weeks after her initial presentation to a healthcare provider.
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Ahead of Print. 24 May 2012  Consequently, clinical suspicion and timely intervention are crucial for ovarian salvage.
20 Jul 2016 Diagnosing ovarian torsion in the emergency department remains a challenge. Any female patient who presents with abdominal pain should prompt consideration of torsion in ED providers. While the overall incidence of .. Introduction: Ovarian torsion is a rare gynecological emergency in children with a non-specific clinical presentation. It poses a diagnostic dilemma and quick diagnosis and management are key to good outcomes. We present a case of ..
The clinical presentation mimics other pathologies, such as appendicitis. a b s t r a c t. Study Objective: To describe the clinical characteristics and treatment of ovarian torsion in premenarchal girls with surgically verified Key Words: Ovarian torsion, Premenarche, Adnexal torsion, Conservative surgery, 17 Dec 2019 She had a similar presentation occuring 1 month ago.
The combination of Doppler flow imaging and morphologic ultrasound assessment of the torted mass may improve the diagnostic accuracy. However, presence of blood flow to an ovary does not rule out torsion. Se hela listan på emedicine.medscape.com
The typical presentation of ovarian torsion is acute onset of pelvic pain, often with nausea and vomiting, in a woman with an adnexal mass.
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Ovarian torsion usually occurs on just one side and can cause sudden, intense pain and vomiting. It can also cause an infection (peritonitis) in the abdominal cavity. The majority of ovarian torsion cases affect women of reproductive age, but girls can have the condition as well. Although ovarian torsion is not common, it is a medical emergency.
[5,6] Clinical Presentation. The classic presentation of ovarian torsion includes acute onset of moderate to severe pain with nausea and vomiting in a patient with a prior history of an adnexal mass. Nausea typically Ovarian torsion (adnexal torsion) is an infrequent but significant cause of acute lower abdominal pain in women. This condition is usually associated with reduced venous return from the ovary as a result of stromal edema, internal hemorrhage, hyperstimulation, or a mass.
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Rates of torsion have been cited at between 0.6% and 6% in pregnancies obtained by ovarian stimulation, and the rate of torsion increases to between 7.5% and 16% in patients presenting with ovarian hyperstimulation syndrome .
Figure 3. Axial CT showing tortured left ovary (not from the patient in this case). Presentation.