Differential Diagnosis for Ovarian Torsion
- Single Most Likely Diagnosis
- Ovarian torsion: This is the most likely diagnosis given the presentation, as the symptoms and clinical findings are highly suggestive of ovarian torsion, which is a gynecological emergency.
- Other Likely Diagnoses
- Ectopic pregnancy: Presents with similar symptoms such as acute abdominal pain and can be a significant concern in women of reproductive age.
- Appendicitis: Can cause severe abdominal pain and may be considered in the differential diagnosis, especially if the pain is localized to the right lower quadrant.
- Pelvic inflammatory disease (PID): Infection of the female reproductive organs can cause severe pain and should be considered, especially in sexually active women.
- Do Not Miss Diagnoses
- Ruptured ovarian cyst: Can cause severe pain and hemodynamic instability, making it crucial not to miss this diagnosis.
- Ruptured ectopic pregnancy: A life-threatening condition that requires immediate attention.
- Intestinal obstruction: Although less common, intestinal obstruction can present with severe abdominal pain and should not be missed due to its potential for serious complications.
- Rare Diagnoses
- Ovarian tumor: Although less common, ovarian tumors can cause torsion or other complications leading to acute abdominal pain.
- Endometriosis: Rarely, endometriosis can cause acute abdominal pain, especially if there is a ruptured endometrioma.
- Mesenteric adenitis: Inflammation of the mesenteric lymph nodes can cause abdominal pain and should be considered in the differential diagnosis, especially in younger patients.