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Anuj K. Dalal - One of the best experts on this subject based on the ideXlab platform.
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Ovarian Torsion: diagnosis by color Doppler ultrasonography.
Obstetrics & Gynecology, 1994Co-Authors: Sadhana K. Desai, Anuj K. DalalAbstract:BACKGROUND Ovarian Torsion, although a rare gynecologic emergency, is a threat to women of all ages. Traditionally, ultrasonography and laparoscopy facilitated early diagnosis and treatment of this condition. This case report highlights the usefulness of color Doppler ultrasonography in the diagnosis of Ovarian Torsion. CASE A 25-year-old patient who conceived after ovulation induction was treated conservatively for mild Ovarian hyperstimulation and threatened abortion. She subsequently underwent selective first-trimester multifetal reduction and was admitted and treated for suspected pelvic infection. On the 17th post-procedure morning, Ovarian Torsion was diagnosed using color Doppler ultrasonography. CONCLUSION Because gynecologists face serious management dilemmas when confronted with Ovarian Torsion, this technique of using color Doppler ultrasonography should provide a highly specific finding in complete Ovarian Torsion, aiding the clinician in prompt diagnosis and treatment.
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Ovarian Torsion: diagnosis by color Doppler ultrasonography.
Obstetrics and gynecology, 1994Co-Authors: Sadhana K. Desai, G N Allahbadia, Anuj K. DalalAbstract:Ovarian Torsion, although a rare gynecologic emergency, is a threat to women of all ages. Traditionally, ultrasonography and laparoscopy facilitated early diagnosis and treatment of this condition. This case report highlights the usefulness of color Doppler ultrasonography in the diagnosis of Ovarian Torsion. A 25-year-old patient who conceived after ovulation induction was treated conservatively for mild Ovarian hyperstimulation and threatened abortion. She subsequently underwent selective first-trimester multifetal reduction and was admitted and treated for suspected pelvic infection. On the 17th post-procedure morning, Ovarian Torsion was diagnosed using color Doppler ultrasonography. Because gynecologists face serious management dilemmas when confronted with Ovarian Torsion, this technique of using color Doppler ultrasonography should provide a highly specific finding in complete Ovarian Torsion, aiding the clinician in prompt diagnosis and treatment.
Bernard Wee - One of the best experts on this subject based on the ideXlab platform.
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CT features in surgically proven cases of Ovarian Torsion-a pictorial review.
The British journal of radiology, 2017Co-Authors: Sunita Dhanda, Swee Quek, Mok Y Ting, Clement Y H Rong, Eric Ting, Pooja Jagmohan, Bernard WeeAbstract:Ovarian Torsion is a surgical emergency characterized by a partial or complete rotation of the Ovarian vascular pedicle, causing obstruction to venous outflow followed by arterial inflow. Clinically, Ovarian Torsion frequently mimics other causes of acute pelvic pain such as appendicitis, diverticulitis, renal colic etc. Ultrasonography is the first-line imaging modality of choice for evaluation of Ovarian Torsion. MRI is useful as a problem-solving tool in patients with equivocal or non-diagnostic ultrasonography studies. CT is ordinarily not utilized in a young female with suspected Ovarian Torsion due to the radiation dose. However, the significant expansion in use of CT imaging in emergency departments for female patients presenting with acute abdominal pain has increased the likelihood that Ovarian Torsion may be first seen on CT. In addition, a non-specific clinical presentation may lead to an initial imaging with CT rather than ultrasonography. Ultrasound features of the Ovarian Torsion are well known and sufficiently described across literature as compared with the CT scan findings. In view of the increasing usage of CT as the modality of choice in emergency settings, it is imperative for the radiologist to familiarize with the CT features of Ovarian Torsion. An early correct diagnosis by the radiologist in clinically unsuspected cases, facilitating a prompt surgery to restore the Ovarian blood flow can prevent permanent irreversible damage. There is limited published data available on the CT features of Ovarian Torsion. This pictorial essay illustrates CT findings with histological correlation of surgically proven Ovarian Torsion in our institution. These patients were primarily investigated with CT scan for acute pelvic pain ascribed to non-gynaecological causes such as bowel or urinary tract lesions.
Tamer A. Hosny - One of the best experts on this subject based on the ideXlab platform.
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Oophoropexy for Ovarian Torsion: a new easier technique
Gynecological Surgery, 2017Co-Authors: Tamer A. HosnyAbstract:Background Oophoropexy for Ovarian Torsion is easy to be done by many tools either suturing to the lateral pelvic wall, plication of the Ovarian ligament or even fixation to the back of the uterus, but it is little bit difficult to do it for pregnant women with less manipulation. Objective We propose that using trocar site closure needle can be easier and faster technique to do this. To assess the feasibility of using the trocar site closure needle to do oophoropexy in Ovarian Torsion and its possible applicability. Patients Seven patients presented with Ovarian Torsion; four of them were pregnant at 7, 15, 19 and 20 weeks of gestation, two patients with Ovarian hyperstimulation in IVF cycles and one adolescent patient with hemorrhagic cyst. They were diagnosed by clinical presentation and ultrasound with Doppler analysis, and confirmed by laparoscopy where they underwent deTorsion and fixation of the ovary using the trocar site closure needle. Results Follow up of all the cases after one week showed improvement of the symptoms and normal Doppler flow of the target ovary then after three weeks by ultrasonography which revealed normal Doppler flow in the previously Torsioned ovary. Two pregnant women underwent cesarean delivery where the operated ovary was observed during the delivery and was normal in shape and freely mobile with no adhesions. Conclusion We propose that this technique is easier, faster and more comfortable especially in Ovarian Torsion in pregnant women and Torsion in hyperstimulated ovaries.
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Oophoropexy for Ovarian Torsion: a new easier technique.
Gynecological surgery, 2017Co-Authors: Tamer A. HosnyAbstract:Oophoropexy for Ovarian Torsion is easy to be done by many tools either suturing to the lateral pelvic wall, plication of the Ovarian ligament or even fixation to the back of the uterus, but it is little bit difficult to do it for pregnant women with less manipulation. We propose that using trocar site closure needle can be easier and faster technique to do this. To assess the feasibility of using the trocar site closure needle to do oophoropexy in Ovarian Torsion and its possible applicability. Seven patients presented with Ovarian Torsion; four of them were pregnant at 7, 15, 19 and 20 weeks of gestation, two patients with Ovarian hyperstimulation in IVF cycles and one adolescent patient with hemorrhagic cyst. They were diagnosed by clinical presentation and ultrasound with Doppler analysis, and confirmed by laparoscopy where they underwent deTorsion and fixation of the ovary using the trocar site closure needle. Follow up of all the cases after one week showed improvement of the symptoms and normal Doppler flow of the target ovary then after three weeks by ultrasonography which revealed normal Doppler flow in the previously Torsioned ovary. Two pregnant women underwent cesarean delivery where the operated ovary was observed during the delivery and was normal in shape and freely mobile with no adhesions. We propose that this technique is easier, faster and more comfortable especially in Ovarian Torsion in pregnant women and Torsion in hyperstimulated ovaries.
Sadhana K. Desai - One of the best experts on this subject based on the ideXlab platform.
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Ovarian Torsion: diagnosis by color Doppler ultrasonography.
Obstetrics & Gynecology, 1994Co-Authors: Sadhana K. Desai, Anuj K. DalalAbstract:BACKGROUND Ovarian Torsion, although a rare gynecologic emergency, is a threat to women of all ages. Traditionally, ultrasonography and laparoscopy facilitated early diagnosis and treatment of this condition. This case report highlights the usefulness of color Doppler ultrasonography in the diagnosis of Ovarian Torsion. CASE A 25-year-old patient who conceived after ovulation induction was treated conservatively for mild Ovarian hyperstimulation and threatened abortion. She subsequently underwent selective first-trimester multifetal reduction and was admitted and treated for suspected pelvic infection. On the 17th post-procedure morning, Ovarian Torsion was diagnosed using color Doppler ultrasonography. CONCLUSION Because gynecologists face serious management dilemmas when confronted with Ovarian Torsion, this technique of using color Doppler ultrasonography should provide a highly specific finding in complete Ovarian Torsion, aiding the clinician in prompt diagnosis and treatment.
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Ovarian Torsion: diagnosis by color Doppler ultrasonography.
Obstetrics and gynecology, 1994Co-Authors: Sadhana K. Desai, G N Allahbadia, Anuj K. DalalAbstract:Ovarian Torsion, although a rare gynecologic emergency, is a threat to women of all ages. Traditionally, ultrasonography and laparoscopy facilitated early diagnosis and treatment of this condition. This case report highlights the usefulness of color Doppler ultrasonography in the diagnosis of Ovarian Torsion. A 25-year-old patient who conceived after ovulation induction was treated conservatively for mild Ovarian hyperstimulation and threatened abortion. She subsequently underwent selective first-trimester multifetal reduction and was admitted and treated for suspected pelvic infection. On the 17th post-procedure morning, Ovarian Torsion was diagnosed using color Doppler ultrasonography. Because gynecologists face serious management dilemmas when confronted with Ovarian Torsion, this technique of using color Doppler ultrasonography should provide a highly specific finding in complete Ovarian Torsion, aiding the clinician in prompt diagnosis and treatment.
André L Denis - One of the best experts on this subject based on the ideXlab platform.
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Usefulness of Doppler sonography in the diagnosis of Ovarian Torsion.
Fertility and sterility, 2000Co-Authors: Joseph E. Pena, David Ufberg, Nancy Cooney, André L DenisAbstract:Abstract Objective: To assess the predictive value of Doppler sonography in the diagnosis of Ovarian Torsion and to correlate Doppler results with surgical findings and various clinical characteristics. Design: Retrospective study of discharged inpatients. Setting: An academic community hospital. Patient(s): Twenty-one patients with surgically confirmed Ovarian Torsion over an 8-year period. Intervention(s): Data were collected on Doppler flow results, ultrasound and surgical findings, patient characteristics, and associated morbidity. Main Outcome Measure(s): Accuracy of Doppler diagnosis as to presence of Ovarian Torsion. Result(s): Twenty-one patients had surgically confirmed Ovarian Torsion. Doppler sonography was performed in 10 of the 21 patients. Doppler sonographic findings were normal in 60% (6 of 10), and abnormal (decreased or absent) in 40% suggestive of Torsion. In cases involving ovulation induction, Doppler sonography findings were normal in 25% (1 of 4). Furthermore, the time to diagnosis of Ovarian Torsion (mean = 5.3 hours) and the time to hospital discharge (mean = 2 days) were both decreased when compared with instances when normal flow was detected by Doppler sonography (59 hours and 2.7 days, respectively). Conclusion(s): Abnormal flow detected by Doppler sonography is highly predictive of adnexal Torsion and is therefore useful in the diagnosis of Ovarian Torsion. However, when normal flow is detected by Doppler sonography, it does not necessarily exclude an Ovarian Torsion; in fact, Torsion is missed in 60% of cases, and time to diagnosis in these cases is delayed. In cases of ovulation induction, sensitivity is increased to 75%.