What is Ovarian Torsion?
Ovarian torque is a aesculapian stipulation where the ovary rotates to such an extent that it causes occlusion of the ovarian arterial blood vessel and/or vein . Ovarian torque occurs as a result of other medical condition such as structural abnormalcy of the ovary and thermionic tube , neoplasm , cysts etc . In absolute majority of the typeface , ovarian torsion is witness in women age between 20 and 40 years . Pregnancy and menopause increases the hazard . Other danger factor include increase in the duration of ovarian ligament , ovary , which are enlarged due to other aesculapian conditions , increase size of corpus luteum in pregnancy , and jolting movements . Treatment comprises of uncoil the ovaries via laparoscopy , oophoropexy to stabilise the ovary for prevent future tortuosity . Surgical remotion of ovary is done in grievous cases where the ovary has become mortify due to cut off in the roue supply .
Pathophysiology of Ovarian Torsion
The developing of crookedness is come to to the development of an ovarian mass . During a woman ’s reproductive years , the usual maturation of large corpus luteum cysts poses as a risk factor for rotary motion or crookedness . Ovarian tumors also commonly cause the torsion due to their mass effect . Torsion of the ovary ordinarily occur with torsion of the fallopian tube along with their deal vascular pedicle besiege the wide ligament . Rarely , the ovary may rotate around the mesovarium or the fallopian tube may circumvolve around the mesosalpinx . In more than half of the cases , crookedness occur unilaterally , with the right side being somewhat more prevalent .
Causes of Ovarian Torsion
Signs and Symptoms of Ovarian Torsion
Tests to Diagnose Ovarian Torsion
It is unmanageable to name ovarian crookedness correctly . Doppler ultrasound assist with the diagnosing . Laparoscopy helps in confirm the diagnosis .
Treatment for Ovarian Torsion
Conservative discussion of ovarian tortuousness comprises of laparoscopy for uncoil or straighten out the torsed / rotated ovary . Oophoropexy may also be done to stabilise the ovary which is potential to torse in the future . NSAIDs such as ibuprofen and naproxen help in painfulness ascendance . surgical procedure for removing the ovary is done in stern case where the blood supplying to the ovary is prune off for a elongated flow of time and effect in mortification of the ovary . As of now , there is no known way to keep ovarian torsion .
