Ovary Torsion

Etiology

  • Acute twisting of fallopian tube and ovary, causing ischemia

Risk Factors

  • Ovarian mass (cyst, malignancy or benign tumor)
  • Torsion can also occur w/normal ovaries

Symptoms

  • N
  • V
  • Acute, severe lower abdomina/pelvic area pain
  • May have similar/lesser pain episodes prior

Physical Exam Findings

  • Patient in significant pain
  • Pain on palpation of lower abdominal quadrant on affected side
  • Bi-manual exam with pain on palpation adnexal area of affected side; might feel mass in that area

Tests