Clinical Presentation
Symptoms:
1. Sudden, severe unilateral iliac fossa pain
2. Nausea and vomiting
3. Possible tender, mobile mass on physical examination
Differential Diagnosis
The acute onset and severity of pain, accompanied by nausea and vomiting, suggest ovarian torsion.
Diagnosis
Initial Assessment:
. Clinical history and physical examination focusing on abdominal and pelvic areas.
. Pelvic ultrasound with Doppler flow studies to assess blood flow to the ovary.
Management
Emergency Referral
. Immediate referral to the gynaecology team for further evaluation and surgical intervention.
. Laparoscopy is typically performed to confirm the diagnosis and detorse the ovary.
Importance of Timely Intervention
. Delayed treatment can lead to ovarian necrosis due to prolonged lack of blood flow, resulting in loss of ovarian function.
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