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.
Highlights
Ovarian اtorsion اbills اfor اabout ا3% اof اall اacute اgynecological اemergencies. اIt اremains اa اclinically اchallenging اanalysis اas اthe اsigns اare اusually اnon-unique
The bulk makes it more likely that the ovary will swivel on the axis of the two ligaments, keeping it suspended
In a study of torsions substantiated by surgical intervention, 46% were connected to malignancy, and 48% had attributed to cysts
Summary
Ovarian اtorsion اbills اfor اabout ا3% اof اall اacute اgynecological اemergencies. اIt اremains اa اclinically اchallenging اanalysis اas اthe اsigns اare اusually اnon-unique. اThe اspinning اof اthose اligaments اcan اcause اvenous اocclusion, اedema, اartery اstiffness, اand, اas اa اresult, اpoor اblood اflow اto اthe اovary. اEvery اeffort اought اto اbe اmade اto اhold اthe اovary, اas اoophorectomy اaffects اdestiny اfertility اand اovarian اreserve اinside اa اlong اtime [ا2]. اOne اof اthe اfew اpieces اof اresearch اthat اquote اthe اprevalence اinside اthe اnon-pregnant اwomen اis اthat اwith اHibbart اet اal., اwho اsaid اit اto اbe ا2.7% اamongst اall اgynecological اemergencies [ا4]. اIn اthe اUK, اa اstudy اof اwomen اimparting اto اthe اearly اbeing اpregnant اunit, اwithin اthe اfirst اtrimester, اdetermined اa اtorsion اincidence اto اbe ا3% اin اwomen اin اwhom اan اovarian اcyst اturned اinto اrecognized اat اregular اscanning [ا6]. اThis اobservation اaffords اa اreview اof اall اto اbe اhad اproof اaiming اto اdecide اthe اmedical اrisk اelements اpredictive اof اovarian اtorsion. اhistorical اpast اpopulation اremains اunknown. اThe اprevalence اin اa اlarge اcohort اof اpregnant اladies اin اIndia اbecame اsuggested اas اminimal [ا5]. اIn اthe اUK, اa اstudy اof اwomen اimparting اto اthe اearly اbeing اpregnant اunit, اwithin اthe اfirst اtrimester, اdetermined اa اtorsion اincidence اto اbe ا3% اin اwomen اin اwhom اan اovarian اcyst اturned اinto اrecognized اat اregular اscanning [ا6]. اThey اexamined ا3000 اwomen; ااthe اchance اof اtorsion اin اa اpatient اwho اprovides اin اthe اearly اpregnancy اunit اis اmeager. اThe اaverage اage اof اa اwoman اwith اovarian اtorsion اis اin اher اlate ا20s, اwith اthe اmassive اmajority اof اinstances اoccurring اin اwomen اunder ا40 اyears اof اage [ا7]. اThis اobservation اaffords اa اreview اof اall اto اbe اhad اproof اaiming اto اdecide اthe اmedical اrisk اelements اpredictive اof اovarian اtorsion. اThis اis اperformed اvia اevaluating اthe اfrequency اof اthe اproposed اscientific اfeatures اto اthe اheritage اpopulace اof اgirls. اThis اaims اto اprovide اan اextensive اand اshort اreview اof اthe اovarian اtorsions اregarding اthe اpresentation, اtreatment, اand اsurgical اcomplications
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