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Ovarian torsion (OT) or adnexal torsion is an abnormal condition where an ovary twists on its attachment to other structures, such that blood flow is decreased. [3] [4] Symptoms typically include pelvic pain on one side. [2] [5] While classically the pain is sudden in onset, this is not always the case. [2] Other symptoms may include nausea. [2]
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)
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]
“Once the treatment is started, your doctor and clinic will keep a close eye on you by looking at an ultrasound of the ovary or ovaries and evaluating hormone levels to estimate of how many eggs ...
PTCs may be found at surgery or during an imaging examination that is performed for another reason. Larger lesions may reach 20 or more cm in diameter and become symptomatic exerting pressure and pain symptoms in the lower abdomen. [3] Large cysts can lead to torsion of the adnexa inflicting acute pain. [3] [4]
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Signs and symptoms, when present, may include lower abdominal pain, vaginal discharge, fever, burning with urination, pain with sex, bleeding after sex, or irregular menstruation. [1] Untreated PID can result in long-term complications including infertility , ectopic pregnancy , chronic pelvic pain , and cancer .
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.