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Surgical treatment of ovarian torsion includes laparoscopy to uncoil the torsed ovary and possibly oophoropexy to fixate the ovary which is likely to twist again. [12] In severe cases, where blood flow is cut off to the ovary for an extended period of time, necrosis of the ovary can occur. In these cases the ovary must be surgically removed.
Ovarian hyperstimulation syndrome (OHSS) is a medical condition that can occur in some women who take fertility medication to stimulate egg growth, and in other women in sporadic cases. Most cases are mild, but rarely the condition is severe and can lead to serious illness or even death.
Plus, she learned that “when the ovaries get big and swollen like that, they can end up twisting, and the blood supply can get cut off,” referring to a complication known as ovarian torsion.
Ovarian cysts—the ovary produces a large, painful cyst, which may rupture. Asherman's syndrome (AS) is an acquired uterine condition that occurs when scar tissue form inside the uterus and/or the cervix. Ovarian torsion—the ovary is twisted in a way that interferes with its blood supply. (pain on one side only)
Intestinal obstruction, Crohn's disease, ovarian torsion, ovarian cyst, neoplasm, infection (parasitic) Treatment: Aimed at management of complications (e.g. nutrition, hydration, pain relief). Prognosis: 10–25% mortality rate in chronic cases: Frequency: Unknown
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Ovarian cysts such as theca lutein cysts can cause ovarian torsion. Torsion occurs when the cysts enlarge the ovaries, causing an imbalance resulting in the twisting of the fallopian tubes. [25] As a result, blood flow to the ovaries is restricted which can cause infarction of the tissue. This requires prompt surgical treatment. [25]
Another approach to treatment involves catheter-based embolisation, [7] often preceded by phlebography to visualise the vein on X-ray fluoroscopy. [3] [8] Ovarian vein coil embolisation is an effective and safe treatment for pelvic congestion syndrome and lower limb varices of pelvic origin.