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| Torsion | ||
| Etiology • Frequently associated with benign or occasionally malignant ovarian enlargement • Unusually mobile adnexa • Increasing incidence in patients undergoing ovulation induction | ||
| Pathogenesis • Ovary twists obstructing first venous return resulting in intense congestion • Eventually obstructs arterial inflow • May completely necrose underlying neoplasm rendering it non-diagnosable, | ||
| Epidemiology • Usually adults • Occasionally children | ||
| General Gross Description • Enlarged deep purple ovary • Firm unless completely necrotic •Examples: | ||
| General Microscopic Description • Hemorrhagic often necrotic • Ovarian tissue may not be recognizable •Examples: | ||
| Clinical Correlation • Patients generally present with an acute abdomen • Can salvage adnexa if recognized early. | ||
| References • Blaustein's Pathology of the Female Genital Tract, 4th ed. Kurman RJ (ed). New York: Springer-Verlag, 1994, pp. 631. • Child TJ, et. al Fertil Steril 67(3), 573-575 (1997) Please be patient during transfer. Medline will open in a new window. To return, close the Medline Window Torsion
| Synopsis by: Melinda Sanders M.D. (T87000M34210)[274]
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