Ovary torsion also called adnexal toranion or tubo-ovarian torsion, is the turning of the ovaries and part of the fallopian tubes, due to which the stumps are also twisted and this is a serious painful condition.
It can be intermittent or continuous and can cause obstruction of the artery or lymphatic system. This is a condition of gynecological emergencies and requires the immediate operation to prevent ovulation of ovaries.
There is a torso due to two main reasons (Torsion happens mainly due to two causes):
Ovary mass (seen in approximately 50-80% of cases)
Lumps such as a dermoid lump or mercury ovarian lump are common causes
The most risk is in the 5-10 centimeter lump
Ovarian hyperactivity (<50% of cases seen)
The ovaries have been seen in most of the young women (15-30 years) and menopausal women. Approximately 20% of cases occur in pregnant women.
Ovarian torsion symptoms are not very specific
Symptoms may include:
When the doctor tests the ovary, the pain may be felt.
The presence of ovary growth or lump may appear in the ultrasound examination.
Doppler Flow Ultrasound helps in the diagnosis of ovary torsion.
Ovary torsion is an emergency in which urgent surgery is needed to stop ovarian necrosis. In most cases, the ovary is not salable, so surgery is done to remove the ovary and the tube on that side. If the ovary does not have blood supply and dead tissue, surgery can be done to correct the ovaries.
If the ovary is not removed, then ovary can be infected due to dead tissue and may cause inflammation, abscess or peritonitis of the stomach layer.
If not treated aggressively, it can cause a septic shock that can be fatal.
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