Postoperative Ovarian Morphology on Ultrasound after Ovarian Torsion—Effect of Immediate Surgery: A Retrospective Cohort Study

Murphy, Niamh; Elborno, Dana; Kives, Sari; Allen, Lisa

doi:10.1016/j.jpag.2021.10.013

Cited by 3 publications

(1 citation statement)

References 15 publications

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“… 13 , 49 Cystectomy at the time of detorsion is not shown to have an effect on the post-operative sonographic morphology of the affected ovary. 50 …”

Section: Managementmentioning

confidence: 99%

Diagnosis and Management of Pediatric Ovarian Torsion in the Emergency Department: Current Insights

Scheier¹

2022

OAEM

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Ovarian torsion is defined as twisting of the ovary around an axis consisting of its vascular pedicle, the infundibulopelvic ligament and the tubo-ovarian ligament, and can occur in females of any age. Torsion can be a result of ovarian mass causing asymmetry and subsequent torsion, or can be spontaneous. While ovarian torsion is a surgical emergency, early diagnosis and treatment can preserve ovarian viability even if necrosis is seen operatively. Presentation classically involves sudden onset severe abdominal pain and vomiting but diagnostic delay can follow subtler presentations. Diagnosis is most commonly based on sonographic findings, but advanced imaging such as CT or MRI may be required if sonography is not diagnostic. Treatment is surgical, with ovarian preservation preferred in almost all cases. In this review, I present the most recent evidence on epidemiology, diagnosis, and management of pediatric ovarian torsion, with a focus on point-of-care ultrasound for the emergency care provider.

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“… 13 , 49 Cystectomy at the time of detorsion is not shown to have an effect on the post-operative sonographic morphology of the affected ovary. 50 …”

Section: Managementmentioning

confidence: 99%

Diagnosis and Management of Pediatric Ovarian Torsion in the Emergency Department: Current Insights

Scheier¹

2022

OAEM

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Surgical approach to 4 different reproductive pathologies by 3 different gynecologic subspecialties: more similarities or differences?

Fitz

Bhagavath

Carugno

et al. 2023

Fertility and Sterility

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Ovarian Torsion: A Review of the Evidence

Zhu,

2024

Obstetrical &Amp; Gynecological Survey

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Importance Ovarian torsion is a gynecological emergency caused by the twisting of the ovary and/or fallopian tube, further resulting in ischemic changes of the adnexa. Early diagnosis is likely to preserve ovarian function. Objective The purpose of this review is to review the current findings of ovarian torsion including clinical presentations, diagnostic criteria, surgical procedures, and prognosis. Evidence Acquisition The literature search is mainly available in PubMed and Web of Science platforms by searching “ovarian torsion” combined with one or several terms including “diagnosis” “risk factors” “surgery” and “torsion recurrence.” Results Abdominal pain, nausea, and vomiting were normal clinical presentations. In order to increase the accuracy of diagnosis, it is necessary to integrate clinical presentation and the findings of imaging and laboratory examinations. Computed tomography findings, plasma d-dimer level, and the time from pain onset play a critical role in distinguishing ovarian necrosis. The efficiency of oophoropexy on preventing recurrent ovarian torsion is controversial. Conclusion Most patients with early diagnosis of ovarian torsion may have a better prognosis with conservative surgery. Relevance Better understanding of ovarian torsion is critical for gynecologists to promote accuracy of diagnosis and select the optimal surgical procedure. Target Audience Obstetricians and gynecologists, family physicians Learning Objectives After completing this activity, the learner will be better able to explain clinical manifestations and findings of imaging; identify signs of ischemic necrosis in twisted ovaries; and discuss the optimal surgery for different populations of women with ovarian torsion.

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Postoperative Ovarian Morphology on Ultrasound after Ovarian Torsion—Effect of Immediate Surgery: A Retrospective Cohort Study

Cited by 3 publications

References 15 publications

Diagnosis and Management of Pediatric Ovarian Torsion in the Emergency Department: Current Insights

Diagnosis and Management of Pediatric Ovarian Torsion in the Emergency Department: Current Insights

Surgical approach to 4 different reproductive pathologies by 3 different gynecologic subspecialties: more similarities or differences?

Ovarian Torsion: A Review of the Evidence

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