ABSTRACT
Ovarian torsion is an acute gynecologic emergency that can occur in women of all ages. Clinical presentations are similar for other causes of acute abdomen. The lack of specific clinical presentation with the varied imaging features with lack of a definitive noninvasive diagnostic tool results in delays in identifying this condition. Ovarian or tubal cysts are the most prevalent and pertinent cause of ovarian torsion; however, torsion can involve a normal adnexa. Delay or misdiagnosis can result in the loss of the affected ovary and subsequent reduced reproductive capacity. When diagnosed, this condition is considered a surgical emergency. Sonographic findings can vary widely depending on the degree of vascular compromise, although all abnormal sonographic appearances of the ovaries were nonspecific findings. Transvaginal color Doppler sonography (TV-CDS) may add significant information for clinical evaluation. Ovarian torsion needs emergency surgical intervention either by laparotomy or laparoscopy. In the past, oophorectomy had been the main treatment of ovarian torsion. Now, a conservative approach of untwisting the adnexa and salvaging the ovary via laparoscopy is reported to be a safe and effective method in preserving fertility.
