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Ovarian torsion should also be considered in infants and small children with feeding intolerance, abdominal distension, vomiting, irritability, and/or a palpable Of those, 55 cases of surgically proven ovarian torsion and 48 control cases were selected. Ultrasound reports were reviewed and analyzed. Results: Sixty-one percent of right ovarian torsion case and 27% of left ovarian torsion cases had normal Doppler flow. Presence of ovarian cysts was significantly associated with torsion. Ovarian torsion, also sometimes termed adnexal torsion or tubo-ovarian torsion, refers to rotation of the ovary and portion of the fallopian tube on the supplying vascular pedicle.

Ovarian torsion pain scale

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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. Pain from ovarian torsion has classically pain been described as sharp, sudden, and unilateral; however, in practice these historical features can not be used to reliably rule out cases of torsion. In a retrospective review of 87 cases of torsion, Houry et al.

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Conclusion: This case illustrates that the gray-scale US appearance of the ovary can be more reliable than Doppler US for the diagnosis of ovarian torsion. KW - Gray-scale ultrasound.

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Concomitant ovarian and tubal torsion has been shown to occur in up to 67% of cases of adnexal torsion (10,11). Ovarian torsion rarely presents with classic symptoms. Always consider torsion when evaluating a female patient with abdominal pain, back pain, or flank pain. While US is a great first initial test for the evaluation of both ovarian torsion, do not be reassured by normal dopplers.

As we review, the appearance of ovarian torsion, one must recognize the potential etiologies to understand the variable findings. sis of ovarian torsion 4. In that report the sonographic whirlpool sign was visualized in all of the 21 symptomatic patients with suspected ovarian torsion presenting with intermittent pain and a sonographically deﬁned ovarian mass.
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Owing to the lack of ionizing radiation, widespread availability, and lack of need for sedation, gray scale, with color Doppler ultrasound examination is often the initial imaging obtained when there is suspicion of gynecologic pathology. Objective: Accuracy of ultrasound in diagnosis of ovarian torsion remains controversial, with some studies reporting correct diagnosis in only 23% to 66% of cases.

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The incidence of ovarian torsion among women of all ages is 5.9 per 100,000 women, and the incidence among women of reproductive age (15–45 years) is 9.9 per 100,000 women. In 70% of cases, it is diagnosed in women between 20 and 39 years of age. A history of prior ovarian cyst or mass, prior ovarian torsion, or current pregnancy should increase your suspicion for torsion.

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