Condition Info - BotMed Application

ConditionName

Ovarian torsion

ConditionDescription

Symptoms

RLQ; LLQ; Sudden; severe pelvic pain and sometimes nausea and vomiting; For days or occasionally weeks before the sudden pain; women may have intermittent; colicky pain; presumably resulting from intermittent torsion that spontaneously resolves;

PhysicalFindings

Cervical motion tenderness; a unilateral tender adnexal mass; and peritoneal signs are usually present;

ClinicalTests

Clinical diagnosis; Transvaginal ultrasonography that shows an enlarged ovary or an ovarian mass; Adnexal torsion is suspected based on typical symptoms (ie; intermittent; severe pelvic pain) and unexplained peritoneal signs plus severe cervical motion tenderness or an adnexal mass; The pain may be unilateral; Other common causes of pelvic pain (eg; appendicitis; ectopic pregnancy; pelvic inflammatory disease; tubo-ovarian abscess) should be ruled out;

RiskFactors

Pregnancy;
Hormonal medication;
Appendicitis; 
Ectopic pregnancy; 
Pelvic inflammatory disease; 
Tubo-ovarian abscess;

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

TreatmentOptions

Laparoscopy;

PharmOptions

WebLink

https://www.merckmanuals.com/professional/gynecology-and-obstetrics/miscellaneous-gynecologic-disorders/adnexal-torsion?query=Ovarian torsion