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Ultrasonographic signs of acute ovarian torsion
, 2, 2, 2, 1
Affiliations- 3rd Chair and Department of Gynecology, Medical University in Lublin, Poland
- Student Research Group at the 3rd Chair and Department of Gynecology, Medical University in Lublin, Poland, Poland
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Abstract
Ovarian torsion is defined as partial or complete rotation of the ovarian vascular pedicle and causes obstruction to venous outflow and arterial inflow. Teenage patient was referred to the gynecology ward with pain located in the lower, right abdomen, after an initial misdiagnosis of a dermoid cyst. The patient was diagnosed with a torsion of the right ovarian peduncle. The patient was given diastolic drugs and was discharged in good general condition two days later after the symptoms had resolved. Final USG showed normally vasculated corpus luteum. Among the various treatment options, the wait-and-watch attitude turned out to be the best solution. It is particularly important in the case of young patients, who are planning pregnancy in the future.
Abstract
Ovarian torsion is defined as partial or complete rotation of the ovarian vascular pedicle and causes obstruction to venous outflow and arterial inflow. Teenage patient was referred to the gynecology ward with pain located in the lower, right abdomen, after an initial misdiagnosis of a dermoid cyst. The patient was diagnosed with a torsion of the right ovarian peduncle. The patient was given diastolic drugs and was discharged in good general condition two days later after the symptoms had resolved. Final USG showed normally vasculated corpus luteum. Among the various treatment options, the wait-and-watch attitude turned out to be the best solution. It is particularly important in the case of young patients, who are planning pregnancy in the future.
Keywords
ovarian torsion; USG; teenage patient
About this articleTitle
Ultrasonographic signs of acute ovarian torsion
Journal
Issue
Article type
Clinical vignette
Pages
264-265
Published online
2021-12-06
Page views
5050
Article views/downloads
824
DOI
Pubmed
Bibliographic record
Ginekol Pol 2022;93(3):264-265.
Keywords
ovarian torsion
USG
teenage patient
Authors
Slawomir Wozniak
Aleksander Wozniak
Martyna Kozlowska
Rafal Kreft
Piotr Szkodziak
References (4)- Chang HC, Bhatt S, Dogra VS. Pearls and pitfalls in diagnosis of ovarian torsion. Radiographics. 2008; 28(5): 1355–1368.
- Oltmann SC, Fischer A, Barber R, et al. Cannot exclude torsion — a 15-year review. J Pediatr Surg. 2009; 44(6): 1212–1217.
- Mashiach R, Melamed N, Gilad N, et al. Sonographic diagnosis of ovarian torsion: accuracy and predictive factors. J Ultrasound Med. 2011; 30(9): 1205–1210.
- Ovarian torsion. Radiopaedia.org. https://radiopaedia.org/articles/ovarian-torsion (2021-05-22).
