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Ovarian Torsion

From the Separate Surgeries Articles List

Ovarian torsion informationWhat is ovarian torsion?


Ovarian torsion is a condition where the ovary has become twisted. At times, the fallopian tube may also twist.

Ovarian torsion can be a complication of larger ovarian cysts forcing the ovary to move or twist. Other causes of ovarian torsion include an enlarged ovary; tumors of the ovary or fallopian tube; abnormalities of the fallopian tube; or hormone fertility treatments. Although ovarian torsion usually occurs during reproductive years, it may occur in children and women in menopause.

Ovarian torsion is rare and creates a medical emergency. The blood supply to the ovary can be cut off during torsion, leading to damage or destruction of the ovary. When possible, the ovary and tube are untwisted and preserved during surgery. If too much damage has occurred, however, the ovary and affected tube may need to be removed. Delaying treatment may increase your risk for infection.

Symptoms of ovarian torsion may occur suddenly and be intense enough to require a visit to the emergency room. They may include
  • sudden, severe lower abdominal pain,
  • abdominal pain that radiates to the side, back, groin, and thighs,
  • abdominal tenderness,
  • nausea and vomiting,
  • mild fever, and
  • abnormal heart rate (tachycardia)
When ovarian torsion is suspected, a transvaginal ultrasound or a CT scan can be used to help with diagnosis. Surgery, however, is usually necessary to confirm ovarian torsion.

In many cases, a laparoscopy can be done to confirm and treat ovarian torsion, but more complicated cases may require a laparotomy. Recovery can depend on the type of surgery and whether or not you had an oophorectomy or salpingectomy.

If you have an ovarian cyst, you should be aware of the symptoms that can indicate ovarian torsion. If you experience any of them, you should seek medical attention immediately. The sooner you receive treatment, the better your prognosis may be.


This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

09-16-2015 - 01:40 PM


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