Ovarian Torsion

November 3, 2020

In a patient coming into the emergency department with abdominal or pelvic pain, it’s important not to miss the possibility of ovarian torsion, which can result in necrosis and infertility if not treated promptly. Yet several myths surround its presentation and diagnosis.

Review “Dispelling 5 Ovarian Torsion Myths” in ACEP Now before you answer the question.

Identify the true statement hiding among four common myths.

Only women of reproductive age suffer from ovarian torsion.

A transvaginal ultrasound displaying normal vascular flow can reliably be used to rule out ovarian torsion.

A normal physical exam (which includes a pelvic exam) can be used to rule out ovarian torsion.

A normal CT with contrast of the abdomen and pelvis without concerning secondary findings (such as enlarged ovary) is highly sensitive for excluding ovarian torsion.

Almost all patients with ovarian torsion present with nausea or vomiting and sudden, acute pain.