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Just the Facts: Ovarian torsion in the emergency department setting

  • Brit Long (a1), Elisha Targonsky (a2) and Alex Koyfman (a3)

Extract

A 23-year-old female presents with right lower quadrant pain that has been intermittent for the past several days. The pain suddenly worsened 1 hour ago. She denies vaginal bleeding or discharge, dysuria, fever, and back pain, but she has had several episodes of nausea with nonbloody, nonbilious vomiting. On examination, she is tender in the right lower quadrant, but her abdomen is not rigid.

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Corresponding author

Correspondence to: Dr. Brit Long, 3841 Roger Brooke Drive, Fort Sam Houston, TX78234; Email: brit.long@yahoo.com

References

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9.Ueland, FR, DePriest, PD, DeSimone, CP, et al. . The accuracy of examination under anesthesia and transvaginal sonography in evaluating ovarian size. Gynecol Oncol 2005;99:400403.
10.Swenson, DW, Lourenco, AP, Beaudoin, FL, et al. Ovarian torsion: case-control study comparing the sensitivity and specificity of ultrasonography and computed tomography for diagnosis in the emergency department. Eur J Radiol 2014;83:733738.
11.Wilkinson, C, Sanderson, A. Adnexal torsion -- a multimodality imaging review. Clin Radiol 2012;67(5):476483.
12.Nizar, K, Deutsch, M, Filmer, S, et al. . Doppler studies of the ovarian venous blood flow in the diagnosis of adnexal torsion. J Clin Ultrasound 2009;37:436439.
13.Chiou, SY, Lev-Toaff, AS, Masuda, E, et al. Adnexal torsion: new clinical and imaging observations by sonography, computed tomography and magnetic resonance imaging. J Ultrasound Med 2007;26:12891301.
14.Ghandehari, H, Kahn, D, Tomlinson, G, Glanc, P.Ovarian torsion: time limiting factors for ovarian salvage. Emerg Med (Los Angel) 2015;5:5.

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Just the Facts: Ovarian torsion in the emergency department setting

  • Brit Long (a1), Elisha Targonsky (a2) and Alex Koyfman (a3)

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