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Ovary - nontumor

Non-neoplastic cysts/other

Torsion


Reviewer: Shahid Islam, M.D., (see Reviewers page)
Revised: 5 June 2012, last major update May 2012
Copyright: (c) 2002-2012, PathologyOutlines.com, Inc.

General
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● Rare; partial or complete rotation of ovarian vascular pedicle, causing obstruction to venous outflow and arterial inflow
● In children, ovary is often normal (Arch Pediatr Adolesc Med 2005;159:532)
● Presents with abdominal pain, patients need emergency ultrasound and laparoscopy (J Pediatr Adolesc Gynecol 2008;21:201)
● Predisposing factors: large cyst, neoplasms (benign or malignant), pelvic inflammatory disease; also associated with in vitro fertilization

Case reports
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● Normal ovary in third trimester (J Med Case Reports 2008 Dec 8;2:378)

Treatment
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● Cases during pregnancy (J Obstet Gynaecol Res 2008;34:683)
● Recommended to attempt to preserve ovary, since most are viable (Clin Obstet Gynecol 2006;49:459)

Gross images
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Various images


Due to large serous cystadenoma

Additional references
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eMedicine

End of Ovary - nontumor > Non-neoplastic cysts/other > Torsion


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