Ovarian torsion is a gynecological medical condition that occurs through the rotation of an ovary and the fallopian tube that attaches to it. This twisting of the blood vessels leads to a compromising blood flow to the
ovary and causes pain.
What are the symptoms of ovarian torsion?
- The pain is usually on one side of the lower abdomen and might be persistent or intermittent.
- Nausea and vomiting might occur as a result of the acute pain associated with ovarian torsion.
- Swelling or bloating of the abdomen. The affected ovary may expand, causing noticeable swelling or bloating of the belly.
- Torsion can cause an infection, which leads to a fever in some circumstances.
Causes of ovarian torsion
- The presence of the ovarian cyst within the ovary can enlarge the ovary and make it more prone to twisting.
- The larger uterus during pregnancy might cause the ovaries to shift position, increasing their susceptibility to torsion.
- Due to the manipulation and increased size of the ovaries, women who have undergone procedures such as ovarian stimulation, in vitro fertilization or egg retrieval are at a higher risk of ovarian torsion.
- Ovarian torsion can be caused by sudden movements, strenuous exercise, or damage to the pelvic area.
Treatment
To treat ovarian torsion, a laparotomy operation may be performed.
- Under general anesthesia, the surgeon makes a vertical or horizontal incision in the lower abdomen.
- The abdominal cavity is gently opened by the surgeon, allowing access to the pelvic area.
- The surgeon examines the pelvic organs physically, recognizing the twisted ovary and fallopian tube.
- The surgeon gently untwists the ovary and fallopian tube to restore ovarian blood flow.
- The viability of the ovary is determined. The ovary can be preserved if the tissue is healthy and blood flow is restored. Removal may be required if there is substantial damage or a lack of blood supply.
- After the necessary interventions are completed, the incision is closed with sutures or staples by the surgeon.