What does ovarian torsion look like on ultrasound?
Ovarian torsion ultrasound findings may vary, but a unilateral enlarged (>4 cm) edematous ovary with peripheral cysts and free pelvic fluid is pathognomonic. The peripherally displaced follicles are due to the engorged central ovarian parenchyma.
Is ovarian torsion visible on ultrasound?
The sensitivity and specificity of sonography for diagnosing ovarian torsion were determined 72.1% and 99.6%, respectively. Also, sonography had a positive predictive value (PPV) of 96.9%, a negative predictive value (NPV) of 95.9%, and a total accuracy of 96.0% for detection of ovarian torsion.
What is the most common ultrasound finding in ovarian torsion?
Conclusion: An enlarged heterogeneous appearing ovary is the most common finding in ovarian torsion. The presence or absence of flow by Doppler sonography is not helpful in the diagnosis.
How do you get an ovarian torsion on a picture?
Ovarian torsion often presents as a clinically ambiguous condition. Females with lower abdominal pain are usually imaged using ultrasound initially. MRI can be used as a problem-solving tool in patients with equivocal or non-diagnostic ultrasound studies.
How do you tell if your ovary is twisted?
The symptoms of a twisted ovary arise suddenly and intensely. They include severe pain in the pelvic region, as well as nausea and vomiting. The sudden pain is often preceded by occasional cramps for several days, or sometimes, for weeks (often because the ovary twists and untwists repeatedly).
What can mimic ovarian torsion?
Mimics of the ovarian torsion include hemorrhagic cyst, endometrioma, and PID. Non-gynecologic emergencies, such as acute appendicitis or renal stone disease, can also mimic ovarian torsion. US and CFD are the primary imaging modality in assessing patients with ovarian torsion.
Does ovarian torsion pain come and go?
These symptoms usually present suddenly and without warning. In some cases, pain, cramping, and tenderness in the lower abdomen may come and go for several weeks. This can occur if the ovary is attempting to twist back into the correct position.
How does a twisted ovary feel?
How do I know if I have ovarian torsion?