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Dispelling 5 Ovarian Torsion Myths

By Brit Long, MD, FACEP; Alex Koyfman, MD, FACEP, FAAEM; and Michael Gottlieb, MD, FAAEM | on June 24, 2020 | 1 Comment
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Key Points

  • Ovarian torsion can affect women of all ages.
  • Pain in the setting of ovarian torsion can vary significantly; it may be abrupt, intermittent, or not present at all.
  • The exam is unreliable. Do not use it to exclude ovarian torsion.
  • Use a combination of factors on TVUS when evaluating torsion: Doppler flow, ovarian size, and free fluid within the pelvis.
  • A completely normal CT of the abdomen/pelvis with contrast is sensitive for ovarian torsion. If there are secondary findings (eg, enlarged ovary), obtain a TVUS.
  • Consult an ob-gyn early in the care of these patients.

References

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  42. Moore C, Meyers AB, Capotasto J, et al. Prevalence of abnormal CT findings in patients with proven ovarian torsion and a proposed triage schema. Emerg Radiol. 2009;16(2):115-220.

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Explore This Issue
ACEP Now: Vol 39 – No 06 – June 2020

Pages: 1 2 3 4 5 | Single Page

Topics: Computed TomographyImaging & UltrasoundOvarianOvarian TorsionPhysical ExamTransvaginal Ultrasound

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One Response to “Dispelling 5 Ovarian Torsion Myths”

  1. July 5, 2020

    Jerry W. Jones, MD FACEP FAAEM Reply

    Excellent article. Very concise and right to the point.

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