From the Research
Ovarian Torsion in the Postpartum Period
Ovarian torsion (OT) is a rare but emergency condition that can occur in the postpartum period, requiring prompt recognition and treatment to preserve ovarian function and minimize morbidity 1, 2, 3.
Clinical Presentation
The clinical presentation of OT in the postpartum period is often nonspecific, making diagnosis challenging. Common symptoms include:
- Severe, sharp, sudden onset of unilateral lower abdominal pain
- Nausea and vomiting
- Tenderness with a palpable laterouterine pelvic mass 1, 4
Diagnosis and Management
Diagnosis of OT is often based on clinical presentation and imaging studies such as ultrasound and computed tomography (CT) scans 2, 3.
- Pelvic ultrasonography can provide information on ovarian cysts and help diagnose OT 4
- Surgery or detorsion is the mainstay of diagnosis and treatment, and emergency surgical intervention should be performed if OT is suspected to confirm the diagnosis and prevent ovarian damage 1, 4
Risk Factors
Ovarian masses, such as mature cystic teratomas, are a major risk factor for OT in the postpartum period 2.
- Ovarian torsion can occur in females of all ages, but the risk is increased in patients with adnexal masses 4
Treatment Outcomes
Early and timely recognition and prompt intervention are crucial to preserve ovarian function and minimize morbidity 1.