Ovary - Ovarian torsion

Ovarian torsion

Partial or complete torsion of the ovary on its supporting ligaments that may compromise the blood supply.

Adnexal torsion

Refers to the involvement of the fallopian tube in ovarian torsion.

Risk factors for ovarian torsion

Ovarian mass, being of reproductive age, pregnancy, ovarian hyperstimulation syndrome.

Ovarian mass

Present in around 90% of cases of torsion, makes torsion more likely when the ovary is enlarged or heavier than usual.

Symptoms of ovarian torsion

Sudden onset of deep-seated colicky abdominal pain, often associated with vomiting and distress.

Laparoscopy

A procedure that is usually both diagnostic and therapeutic for ovarian torsion.

Colicky abdominal pain

A type of pain often associated with ovarian torsion, described as sudden and deep-seated.

Adnexial tenderness

Can be revealed during a vaginal examination in cases of ovarian torsion.

Recent vigorous activity

Often reported in history of patients before experiencing ovarian torsion.

Whirlpool sign (detailed)

The characteristic coiled or twisted appearance of the ovarian vascular pedicle seen on ultrasound, suggestive of ovarian torsion due to compromised blood flow.