Ovarian torsion (twisting of the ovary)

About Ovarian torsion (twisting of the ovary)

A twisting of the ovary where it is attached to its blood supply, causing decreased blood supply. If ovarian torsion is not quickly treated, areas of dead tissue (`gangrene`) in the ovary can result and this can cause dangerous inflammation. Torsion is more likely if the ovary has developed a cyst. It is more common in women less than 30.

Symptoms

Lower abdominal pain, sudden onset of pain, vomiting. The pain is cyclic increasing and decreasing.

Tests & Diagnostics

A history and physical exam will be performed. A ultrasound can suggest the diagnosis. Findings during surgery confirm the diagnosis.

Common tests: BHCG, Complete blood count (CBC), Comprehensive metabolic panel (CMP), Ultrasound.

Conventional treatment summary

Surgery is needed to untwist the ovary so that blood flow is not pinched off. During surgery the ovary can be sewn to the abdominal wall so this problem does not occur again.

Medical specialties

Obstetrics and Gynecology

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Ovarian torsion (twisting of the ovary).