It may twist the ovary?

Ovarian torsion is caused by the rotation of the ovary or annexes surrounding the ovary, which can cause an obstruction of blood flow, venous and lymphatic systems. This torsion is not common, but it is rare and constitutes approximately 3% of emergency surgery in women.

This occurs more often in women who are in their fertile phase of life, and 20% of them are pregnant.

Most who suffer ovarian torsion, have an enlarged secondary to a functional cyst or tumor, although it can give a twisted ovary or fallopian tube normal. The latter is very rare and usually occurs in women who have not yet begun menstruating.

The patients with this problem, as indicated by abdominal pain on one side, acutely, accompanied by nausea and vomiting in 50 to 70% of patients. If the ovaries have been severely compromised by the twist, the conduct must be as conservative as possible, so that should be addressed to reverse the twist and make the removal of the cyst only if necessary.

In addition to ovarian torsion, the differential diagnosis of acute abdominal pain should include: pelvic inflammatory disease, appendicitis, ectopic pregnancy or outside the uterus, mesenteric adenitis, rupture or hemorrhage of an ovarian cyst and a tumor of ovary caused by endometriosis.

 

 

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