Advice

What are the signs and symptoms of ovarian torsion?

What are the signs and symptoms of ovarian torsion?

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 causes intermittent ovarian torsion?

It is more commonly seen in the right ovary due to an increased length of the utero-ovarian ligament on the right and the presence of the sigmoid colon on the left. The greatest risk factor for ovarian torsion is ovarian enlargement, typically caused by an ovarian cyst or mass.

What causes Meigs syndrome?

When benign leiomyoma is the cause, myomectomy is curative. [45] A case report described cure by resection of a benign ovarian fibrothecoma, and 30 years later it recurred with elevated CA125 and was again cured by resection of a peritoneal recurrence.

Can ovarian torsion resolve itself?

Sometimes ovarian torsion resolves itself on its own, as it did with Philipps. This is called intermittent torsion, meaning that the torsed ovary twists back into place and then ceases twisting. However, experts say you shouldn’t wait to see if the ovary will twist back on its own.

How is intermittent ovarian torsion diagnosed?

Diagnosis. The diagnosis of ovarian torsion will involve laboratory blood and urine tests to help rule out other health conditions. Often you will also take a pregnancy test, since pregnancy is a risk factor for ovarian torsion. A transvaginal or pelvic ultrasound can help your doctor to view the affected ovary.

How common is ovarian torsion?

The incidence of ovarian torsion among women of all ages is 5.9 per 100,000 women, and the incidence among women of reproductive age (15–45 years) is 9.9 per 100,000 women. In 70% of cases, it is diagnosed in women between 20 and 39 years of age. The risk is greater during pregnancy and in menopause.

What is a Fibrothecoma of ovary?

Ovarian fibrothecoma is a rare, benign, sex cord-stromal neoplasm, with a typically unilateral location in the ovary, characterized by mixed features of both fibroma and thecoma. Patients may be asymptomatic or may present with pelvic/abdominal pain and/or distension and, occasionally, with post-menopausal bleeding.

What is ovarian Thecoma?

Ovarian thecomas are benign ovarian tumors of sex cord / stromal (mesenchymal) origin. They are thought to account for approximately 0.5-1% of all ovarian tumors. As ovarian thecomas secrete estrogen, they are described as functional ovarian tumors.

Which ovarian tumor is commonly associated with Meigs syndrome?

The syndrome as originally described by Meigs was limited to fibroma of the ovary. Recently he redefined this syndrome and included thecomas, granulosa-cell tumors, and Brenner tumors. These, according to Meigs, are the tumors with which this syndrome is most commonly associated.

Is Meigs syndrome common?

Ovarian fibromas represent approximately 2-5% of surgically removed ovarian tumors, and Meigs syndrome occurs in only 1-2% of these cases; thus, it is a rare condition. Ascites is present in 10-15% of women with ovarian fibroma, and hydrothorax is present in 1%, especially those with larger lesions.