gynecology and obstetrics
Adnexal Torsion
Diagnosis of Adnexal Torsion
History and pelvic examination Transvaginal ultrasonography Exploratory surgery to confirm Adnexal torsion is suspected based on typical symptoms (ie, intermittent, severe pelvic pain, usually with nausea and vomiting) and unexplained peritoneal signs plus severe cervical motion tenderness or an adnexal mass. Other common causes of Female Pelvic Pain (eg, Clinical diagnosis of adnexal torsion is supported by imaging with transvaginal ultrasonography that shows an enlarged ovary or an ovarian mass. Color Doppler ultrasonography that shows decreased or absent blood flow in the ovary provides further support for the diagnosis. If adnexal torsion is suspected, exploratory surgery is done immediately. The presence of a twisted ovary confirms the diagnosis. 