Description
A twisting of the ovary where it is attached to its blood supply, causing decreased blood supply. If ovarian torsion is not quickly treated, areas of dead tissue (gangrene) in the ovary can result and this can cause dangerous inflammation. Torsion is more likely if the ovary has developed a cyst. It is more common in women less than 30.
Symptoms
Lower abdominal pain, sudden onset of pain, vomiting. The pain is cyclic increasing and decreasing.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. A ultrasound can suggest the diagnosis. Findings during surgery confirm the diagnosis.
Tests:
Pregnancy (BHCG) test, Complete blood count (CBC), Comprehensive metabolic panel (CMP), Ultrasound
Specialists:
Obstetrics and Gynecology
Workup:
A history and physical exam will be performed. A ultrasound can suggest the diagnosis. Findings during surgery confirm the diagnosis.
Tests:
Pregnancy (BHCG) test, Complete blood count (CBC), Comprehensive metabolic panel (CMP), Ultrasound
Specialists:
Obstetrics and Gynecology
Treatment
Surgery is needed to untwist the ovary so that blood flow is not pinched off. During surgery the ovary can be sewn to the abdominal wall so this problem does not occur again.