ovarian torsion
Twisting of the ovary around its vascular pedicle, causing ischemia and requiring emergency surgery.
Full Definition
Ovarian torsion is a gynecological emergency involving partial or complete rotation of the ovary around its supporting ligaments, compromising blood supply and leading to ischemia. This condition typically presents with sudden onset severe pelvic pain, often accompanied by nausea and vomiting. Prompt diagnosis and surgical intervention (detorsion) are crucial to preserve ovarian function and prevent tissue necrosis. Risk factors include ovarian masses, pregnancy, and ovulation induction treatments.
Usage
Usage note: Emphasize urgency in documentation; specify degree of torsion and ovarian viability when known.
In Context
- "The patient's acute pelvic pain and ultrasound findings were consistent with ovarian torsion." — Emergency department note
- "Laparoscopic detorsion was performed successfully, preserving ovarian viability." — Operative report