Ovarian Torsion Pain Location
Ovarian torsion pain typically presents in the lower abdomen, most commonly in the right or left lower quadrant corresponding to the affected ovary, with the right lower quadrant being the most frequent presentation site. 1, 2, 3
Anatomical Pain Distribution
The pain localizes to the lower quadrant of the abdomen on the side of the torsed ovary:
- Right lower quadrant pain is the most commonly reported presentation, as documented in multiple case series 2, 3, 4
- Left lower quadrant pain occurs when the left ovary is affected 2
- The pain corresponds directly to the anatomical location of the affected adnexa 1
Pain Characteristics That Aid Diagnosis
Sudden onset of severe, constant pain is the hallmark feature that distinguishes ovarian torsion from other causes of lower abdominal pain 1, 5, 3:
- Pain is typically constant rather than colicky, though it may fluctuate in intensity 1
- Does not migrate or radiate in the classic pattern seen with appendicitis (periumbilical to right lower quadrant) 1, 2
- Pain escalates rapidly and rarely resolves without intervention 1
- Accompanied by nausea and vomiting in most cases 5, 2, 3
Critical Diagnostic Pitfall
The sudden onset of severe lower quadrant pain is more characteristic of ovarian torsion than the typical periumbilical pain migrating to the right lower quadrant seen in appendicitis 1. When evaluating right lower quadrant pain in females of reproductive age, ovarian torsion must be considered alongside appendicitis, as the clinical presentation can mimic other acute abdominal conditions 2, 6, 4.
Associated Anatomical Findings
Due to the anatomical proximity of the ovaries to surrounding structures: