Can ectopic pregnancy cause ovarian torsion?

Torsion of fallopian tube containing an ectopic pregnancy is extremely rare. Tubal torsion should be considered in the differential diagnosis of abdominal pain in young women. Early surgical intervention is recommended in order to salvage the affected tube and preserve fertility.

Can an ectopic pregnancy be mistaken for an ovarian cyst?

The classic triad of symptoms, amenorrhea, abdominal pain, and abnormal bleeding, varies greatly among individuals, and ectopic pregnancies frequently are confused with other conditions, such as ovarian cyst, pelvic inflammatory disease, and spontaneous abortion.

What did your ovarian torsion feel like?

The symptoms of a twisted ovary arise suddenly and intensely. They include severe pain in the pelvic region, as well as nausea and vomiting. The sudden pain is often preceded by occasional cramps for several days, or sometimes, for weeks (often because the ovary twists and untwists repeatedly).

How do I know if I have an ovarian cyst or ectopic pregnancy?

A paraovarian cyst located adjacent to the ovary can raise concern for ectopic pregnancy, but its appearance as a simple cyst with a thin, avascular wall readily distinguishes it from an ectopic pregnancy.

Is ovarian torsion pain constant?

Ovarian torsion usually presents with sudden onset of severe, unilateral lower abdominal pain, associated with nausea and vomiting; however, in a small percentage of cases, the clinical course is prolonged, as the torsion can be intermittent.

Can twisted ovary untwist itself?

Sometimes ovarian torsion resolves itself on its own, as it did with Philipps. This is called intermittent torsion, meaning that the torsed ovary twists back into place and then ceases twisting. However, experts say you shouldn’t wait to see if the ovary will twist back on its own.

How soon can you tell if you have a ectopic pregnancy?

Symptoms of an ectopic pregnancy usually develop between the 4th and 12th weeks of pregnancy. Some women don’t have any symptoms at first. They may not find out they have an ectopic pregnancy until an early scan shows the problem or they develop more serious symptoms later on.

What can ectopic pregnancy be mistaken for?

Uterine bleeding caused by ectopic pregnancy may be mistaken for menstruation, especially if the timing corresponds to the expected menses or if the condition occurs in a woman with an irregular menstrual cycle.

How do you rule out ovarian torsion?

Ultrasound is the diagnostic modality of choice for detecting torsion. The absence of blood flow within the ovary on Doppler exam is a highly specific finding but the presence of Doppler flow does not exclude the diagnosis of torsion.

Do you always vomit with ovarian torsion?

Is laparoscopic surgery safe for ovarian torsion during pregnancy?

Management in pregnant women is similar to that in nonpregnant patients, and laparoscopic surgery is safe for torsion in pregnant women [28,71,72,73]. Neonates with ovarian torsion often present with irritability and the condition can be treated with laparoscopic surgery [74,75,76].

What is ovarian torsion?

Ovarian torsion is a rare but emergency condition in women. Early diagnosis is necessary to preserve the function of the ovaries and tubes and prevent severe morbidity. Ovarian torsion refers to complete or partial rotation of the adnexal supporting organ with ischemia.

What are the chances of ovarian torsion being malignant?

The majority of ovarian masses are benign. Some case reports show less than 2% of torsions involving a malignant lesion. However, the chances of a malignant lesion involved in torsion are increased in the postmenopausal group.

How common is torsion of the fallopian tube?

Torsions more commonly involve both the ovary and fallopian tube, and there are fewer cases of isolated torsion involving either one (one in 1.5 million women) [4,5,6]. Torsion involving paratubal or paraovarian cysts has also been found [2,7,8].