ovarian torsion
Female genital system is so sensitive. Women should care about their healthy and check up monthly, to prevent the genital diseases. One of the problem which women are faced is ovarian torsion. In this article, we consider the problem of ovarian torsion, completely
Ovarian torsion, means the twisting of the ovary due to the influence of another condition or disease. This results in extreme lower abdominal pain.
Ovarian torsion occurs infrequently only in females in all ages, but women between 15 to 30 have high risk of ovarian torsion. About 20% of all reported cases are in pregnant women. It is the fifth most common gynecological emergency which can include surgical intervention.
this problem usually arises in only one ovary at a time. They can occur in either normal or enlarged ovaries and Fallopian tubes, and occasionally they develop in both.
Causes and symptoms of ovarian torsion
There are different conditions which can cause the problem, ranging from changes in normal ovaries to congenital and developmental abnormalities or even a disease that affects the tube or ovary. Normal ovaries that experience spasms or changes in the blood vessels in the mesosalpinx can become twisted. For example, if the veins in the mesosalpinx become congested, the ovaries will undergo torsion.
Developmental abnormalities of the Fallopian tube such as extremely longer-than-normal tubes or a missing Mesosalpinx will cause ovarian torsion. Diseases such as ovarian cysts or fibromas, tumor of the ovary or tubes, and trauma to either the ovaries or the tubes will also cause ovarian torsion.
The characteristic symptoms of ovarian torsion are:
- Sudden pain of lower abdominal that radiates to the back, side and thigh.
- Nausea,
- Vomiting,
- Diarrhea, and
- Constipation can accompany the pain.
The patient may also experience tenderness in the lower abdominal area, a mild fever and tachycardia.
Diagnosis of ovarian torsion
The diagnosis of torsion usually occurs in an emergency room due to the suddenness and extreme pain. Since 20% of ovarian torsions occur in pregnant women, physicians will order a pregnancy test. Visualization with an ultrasound and CT scan (computed tomography) will help pinpoint the ovarian structures and allow physicians to diagnose. Diagnosis is often confirmed through laparoscopy.
Treatment of ovarian torsion
Ovarian torsion is removed by a surgery. And for less severe cases laparoscopic surgery is used. Medications such as NSAIDs are given to reduce the pain.
Contact Dr. Mitra Bahmanpour, Gynecologist
Address: Khalij Fars Building. Next to 18th st. Velenjak. Tehran. Iran
Tell: +9821- 26641827
+9821- 26641908
+9821- 1831
+98912- 0897425
