Is It Ovarian Torsion? A Systematic Literature Review and Evaluation of Prediction Signs

Gasser, C; Gehri, Mario; Joseph, Jean-Marc; Pauchard, Jean-Yves

doi:10.1097/pec.0000000000000621

Cited by 72 publications

(45 citation statements)

References 22 publications

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“…The significantly enlarged right ovary and abnormal spectral arterial waveforms were highly suspicious for torsion which was confirmed by laparoscopy. Aligning with our patient's case, a recent systematic review of ovarian torsion in the pediatric population identified right lower abdomen as the most common location of pain [11]. It has been suggested that right-sided torsion predominance may be due to the ample space surrounding the right ovary in comparison to the left ovary which is confined by the occupation of the sigmoid colon [12].…”

Section: Radiological Studiessupporting

confidence: 71%

Multicystic Ovaries in Untreated Pediatric Hypothyroidism : A Risk Factor for Ovarian Torsion

Naffaa¹,

Birjawi²,

Baassiri³

2018

LMJ

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Section: Radiological Studiessupporting

confidence: 71%

Multicystic Ovaries in Untreated Pediatric Hypothyroidism : A Risk Factor for Ovarian Torsion

Naffaa¹,

Birjawi²,

Baassiri³

2018

LMJ

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“…Ovarian torsion due to an adnexal mass causes various symptoms and signs on clinical presentation. The most common symptom is acute onset of lower abdominal pain, followed by nausea and vomiting [ 15 22 24 33 34 35 ]. Some patients experience waves of nausea with or without vomiting [ 15 22 24 33 ].…”

Section: Linical Presentationmentioning

confidence: 99%

A review of ovary torsion

Hong

Ding

2017

Tzu Chi Med J

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Ovarian torsion is a rare but emergency condition in women. Early diagnosis is necessary to preserve the function of the ovaries and tubes and prevent severe morbidity. Ovarian torsion refers to complete or partial rotation of the adnexal supporting organ with ischemia. It can affect females of all ages. Ovarian torsion occurs in around 2%–15% of patients who have surgical treatment of adnexal masses. The main risk in ovarian torsion is an ovarian mass. The most common symptom of ovarian torsion is acute onset of pelvic pain, followed by nausea and vomiting. Pelvic ultrasonography can provide information on ovarian cysts. Once ovarian torsion is suspected, surgery or detorsion is the mainstay of diagnosis and treatment.

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“…Ovarian torsion (adnexal torsion or turbo-ovarian torsion) is a cause of acute abdominal pain in women, which requires emergency gynecological surgery [ 1 ]. Although adnexal torsion is most common in sexually mature women, it can also affect pre-pubertal and post-menopausal women [ 1 ]. Early diagnosis and treatment are important to salvage the viability of the ovary and to maintain fertility [ 1 – 3 ].…”

Section: Introductionmentioning

confidence: 99%

Nigella Sativa Oil Protects the Rat Ovary from Oxidative Injury Due to Ischemia-Reperfusion

Atasever

Bakacak

2017

Med Sci Monit

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BackgroundThe aim of this study was to evaluate the effects of Nigella sativa (N. sativa) oil (NSO) on ovarian oxidative damage following ischemia-reperfusion injury, using a rat model of ovarian torsion.Material/MethodsForty-eight female albino Wistar rats were divided into six groups: (Group 1) laparotomy only; (Group 2) intraperitoneal NSO (2 ml/kg), 1 hour following laparotomy; (Group 3) 3 hours of ovarian ischemia; (Group 4) 3 hours of ovarian ischemia followed by 3 hours of reperfusion; (Group 5) 3 hours of ovarian ischemia and 2 ml/kg of NSO 1 hour before laparotomy; (Group 6) 3 hours of reperfusion after 3 hours of ovarian ischemia and 2 ml/mg of NSO 1 hour before laparotomy.ResultsThe antioxidant status, ceruloplasmin level, native thiol, total thiol, and disulfide levels of the control group (Group 1) were significantly increased compared with the ovarian ischemia-reperfusion group treated with NSO (Group 6) (p=0.003, p=0.002, p=0.006, p=0.001 and p=0.003, respectively); these levels in the ovarian ischemia group (Group 3) and ischemia-reperfusion group (Group 4) were statistically similar to those of the ovarian ischemia + NSO group (Group 5) and ovarian ischemia-reperfusion + NSO group (Group 6).ConclusionsIn this preliminary rat study, administration of NSO shortly after the onset of ovarian ischemia-reperfusion injury, did not significantly reduce levels of markers of oxidative injury. Further studies are required to evaluate the ovarian changes at the tissue level, and to determine the optimum dose of NSO.

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Is It Ovarian Torsion? A Systematic Literature Review and Evaluation of Prediction Signs

Cited by 72 publications

References 22 publications

Multicystic Ovaries in Untreated Pediatric Hypothyroidism : A Risk Factor for Ovarian Torsion

Multicystic Ovaries in Untreated Pediatric Hypothyroidism : A Risk Factor for Ovarian Torsion

A review of ovary torsion

Nigella Sativa Oil Protects the Rat Ovary from Oxidative Injury Due to Ischemia-Reperfusion

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