Ovarian torsion has a bimodal age distribution occurring mainly in young women (15-30 years) and post-menopausal women. Approximately 20% of the cases occur during pregnancy 1. Torsion occurs due to two main reasons 2: 1. hypermobility of the ovary: <50% 2. adnexal mass: ~50-80% 2.1. most lesions are … See more Most patients present with severe non-specific lower abdominal and pelvic pain, either intermittent or sustained, nausea, and vomiting. There is an adnexal tenderness. A raised … See more Urgent surgery is required to prevent ovarian necrosis. Most ovaries are not salvageable, in which case a salpingo-oophorectomy is … See more The result of vascular compromise secondary to ovarian torsion is hemorrhagic infarction and necrosis, which can occur as … See more The main feature of torsion is ovarian enlargement due to venous/lymphatic engorgement, edema, and hemorrhage. Secondary signs include free pelvic fluid, an underlying ovarian lesion, reduced or absent … See more WebMay 27, 2024 · The whirlpool sign or whirl sign of ovarian torsion is characterized by the appearances of a twisted ovarian pedicle seen on US or ... It appears as twisting of the …
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WebUltrasound has a high PPV as a first-choice imaging modality in the diagnosis of adnexal torsion. The combinations of the following 4 statistically significant ultrasound signs, … WebThe patient went to the OR and the diagnosis was confirmed. In summary: ovarian torsion can be a tricky diagnosis. It can occur with spectral Doppler flow, without spectral Doppler … slumberland coupons printable
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WebCommon ultrasound signs are an enlarged adnexa, the whirlpool sign, ovarian stromal edema with or without peripherally displaced antral follicles and free fluid in the pelvis. … WebSep 30, 2024 · Ovarian torsion occurs usually secondary to ovarian cysts or masses, predisposing the ovary to twist. As the ovary twists, so does the vascular supply, initially … slumberland coupons ad