PEM Currents: The Pediatric Emergency Medicine Podcast Ovarian Torsion
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Nov 3, 2021 Explore the crucial topic of ovarian torsion, a leading cause of lower abdominal pain in young females. Discover its typical presentations, often accompanied by vomiting, and the importance of accurate diagnosis. Ultrasound plays a key role in assessing this condition. The discussion clarifies misconceptions surrounding blood flow in the affected ovary, stressing the significance of timely treatment to prevent complications.
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Ovarian Torsion Physiology
- Ovarian torsion involves twisting of the ovary, obstructing lymphatic and venous drainage.
- Unlike testicles, ovaries receive blood from two sources: ovarian and uterine arteries.
Ovarian Torsion Causes
- Most ovarian torsions (almost two-thirds) have no clear cause like a cyst.
- Masses or cysts larger than 5cm significantly increase torsion risk.
Ovarian Torsion Demographics
- Ovarian torsion is more common in children/adolescents, peaking between ages 9-14.
- Neonatal torsion occurs in utero and isn't typically diagnosed in the ER.