Ovarian torsion

Discussion:

Ovarian torsion can affect all ages. It may be due to a complete or partial twist of the ovarian pedicle with the main risk factor is an underlying mass yet it can occur on normal ovary particularly in premenarchal girls who have elongated infundibulopelvic ligaments.

The most common symptom of ovarian torsion is acute onset of pelvic pain, followed by nausea and vomiting. Once ovarian torsion is suspected, surgery or detorsion is the mainstay of treatment. Hence; early diagnosis of ovarian torsion is necessary to preserve the function of the ovaries and tubes and prevent severe morbidity.

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