Overcoming adnexal torsion: Whirlpool sign

Abstract

Ovarian torsion or adnexal torsion is an acute gynecologic disorder involving complete or partial rotation of the ovarian vascular pedicle. The majority occurs in young women and is mainly associated to an underlying ovarian mass. It remains a challenging diagnosis and imaging plays a pivotal role for timely and accurate diagnosis [1]. In fact, clinical presentation is nonspecific, most patients present with acute abdominal or pelvic pain, either intermittent or persistent with possible nausea and vomiting.