EP30.13: Ultrasound diagnosis of the ovarian torsion

• DOI: 10.1002/uog.27194
• Publication Date: 2023-10-02T07:05:38Z
• Authors: Y. Masmoudi; A. Halouani; N. Gharbia; A. Triki; A. Ben Amor
• Keywords: Ovarian torsion; Ovarian cyst; Oophorectomy; Etiology

Ovarian torsion is a relatively common etiology of acute pelvic pain. Delay in diagnosis and treatment can jeopardise the viability ovary. Imaging plays crucial role search for underlying pathology. The aim our study to investigate sonographic features ovarian order preserve function women reproductive age. This was retrospective analytical 64 cases over period 7 years between 2015 2022. All patients were evaluated by ultrasound coupled with colour Doppler. An abdominal-pelvic CT scan also requested diagnostic uncertainty. mean age 25.9 years. most frequent reason consultation sudden onset pain vomiting 43 patients. Torsion affected healthy ovary 8 an adnexal mass 56 cases. signs on enlarged heterogeneous-looking fluid Douglas pouch. 6 cases, cystic formation 25 dermoid cyst 9 functional or serous 14 mucinous 2 16 had presented small amount pelvis. Doppler flow absent 52 Patients underwent laparoscopic surgery 60 detorsion cystectomy performed 53 adnexectomy 3 simple aspiration represents emergency that requires prompt function. Ultrasound allows majority