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Ovarian (adnexial) torsion (Risk factors (Pregnancy, Ovarian cyst,…
Ovarian (adnexial)
torsion
Definition
Enlarged ovary twists on pedicle
Pathophysiology
Twisting of ovary on pedicle cuts off blood supply
More likely if ovary is enlarged
Risk factors
Pregnancy
Ovarian cyst
Ovarian cancer
Clinical
presentation
N&V
Fever
Pain
Character
Colicky
Radiation
Nil
Onset
Sudden
Associated symptoms
N&V
Fever
Site
Abdomen, usually lower
Timing
Continous
Exacerbating/relieving factors
Nil
Severity
Severe
Diagnosis
Examination
Abdo exam (may be tender)
PV exam (may be tender)
Investigations
Bloods
FBC (WCC raised), CRP (raised)
Urine
Pregnancy test
Imaging
USS pelvis (adnexal mass)
Doppler (impaired blood flow)
History
Pregnant?
Management
Initial (ABCDE)
Definitive
Surgical
Urgent laparotomy
(remove/untwist)