Ovarian Torsion Presentation, Treatment and Iatrogenic Surgical Management
Sheema Sabahath *
Department of Obstetrics and Gynecology, King Abdullah Medical Complex, Jeddah, Saudi Arabia.
Hussain Salah AL Sinan
College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Asalah Tariq Alsaigh
College of Medicine, Ibn Sina National College, Jeddah, Saudi Arabia.
Rawan AlSalamah AlFadhli
College of Medicine, Arabian Gulf University, Manama, Bahrain.
Tahani Salman Al Mansour
Department of Emergency Medicine, Alnuayriah General Hospital, Alnuayriah, Saudi Arabia.
Abdullah Mohammed AlQatari
College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Fatin Abuagla Mohamed
Department of Emergency Medicine, Khamis Mushait Maternity and Children Hospital, Khamis Mushait, Saudi Arabia.
Feras Mohammed Al Habshan
Department of General Surgery, Hera General Hospital, Mecca, Saudi Arabia.
Amro Saad Alzahrani
Department of General Surgery, Hera General Hospital, Mecca, Saudi Arabia.
Atheer Humaidy Alenazi
College of Medicine, Northern Border University, Arar, Saudi Arabia.
Nora Mishaal Alfertaj
College of Medicine, Arabian Gulf University, Manama, Bahrain.
*Author to whom correspondence should be addressed.
Abstract
Ovarian torsion is among the gynecological life-threatening conditions that may require urgent surgical intervention among the appearance of clinical manifestations. The most common clinical manifestations include severe abdominal pain, nausea extending to vomiting. The ovarian torsion is not limited to children only. However, it can also occur in adult females, either pregnant or non-pregnant. The etiology of the disease tends to be related to the weakness of the uterine ligaments or malpositioning of it due to known and unknown causes. Despite that, the surgical intervention is needed to release the torsion. Sometimes, it can lead to adverse events or side effects such as decreased blood flow to the surrounding structures. Which by role may lead to unpleasant complications and clinical manifestations of hemorrhage and shock. In this article, we reviewed the topic of ovarian torsion from different aspects, including the definition, causes, clinical evaluation, and clinical management and its common complications.
Keywords: Ovarian torsion, gynecology, obstetrics, uterus, ovary